Northwest Counseling and Guidance Clinic, Inc

Unfortunately, your web browser, Unknown, is not compatible with our job application. You may experience issues when applying. Please update your browser for more security and the best experience on this site.

Dodge County Mobile Mental Health Crisis Worker

Bever Dam, WI

Step 1 of 2

Fill out application with my resume

Information

Thank you for your interest in a position with Northwest Counseling and Guidance Clinic. Our programs that are licensed by the state of Wisconsin, are governed by statutes that include specific provisions regarding the education and previous experience of our staff. For this reason, we need very specific information about you in order to determine for which positions we may consider you.

Although you may have already sent a resume that contains information about your background, we must ask that you complete this application in its entirety. As the information on this application is the only information that will be used to review your qualifications, it is to your advantage to be as complete as possible when answering the questions on this application. Upon determining your qualifications, we will notify you about whether your application is eligible to be forwarded to the manager of the open position. That manager will determine which applicants to interview.

First Name (required)

Last Name (required)

Middle Name

Preferred First Name

Email Address (required)

Mobile Number (required)

For international numbers, start with a + and then the country code (e.g., +57 for Colombia)

Have you applied for a job with us before? (required)

We may use SMS during the hiring process. Do you give us permission to text you? (required)

*I consent to receive text messages at the mobile number provided. Message and data rates may apply. Message frequency varies. Reply 'STOP' at any time if you no longer wish to receive text messages regarding this job

Country

Address Line 1

Address Line 2(optional)

City

County

State

Zip Code

Available to Start (required)

Date of Birth (required)

Skills (required)

Have you worked with us before? (required)

Work History

Previous Employment

Please fill out this information completely. State regulations specify that applicants for positions working with children in day treatment settings must have previous experience working directly with or providing treatment services for children with mental health disorders. These regulations prohibit us from accepting work with autistic and developmentally disabled clients as related mental health experience. Please do not count time working with these populations as mental health experience.

You must provide information for all employers for the most recent five years. Depending on the position for which you are applying, we may be required by statutes to check employment references for all employers for the past 5 years; regardless of whether that employment occurred in a field related to mental health services. If not statutorily required to check references with all employers in that time period, NWCGC reserves the right to determine which references in that time period are most relevant to your potential employment with this agency. In general, references will not be checked prior to interviews and in most cases will not be checked prior to an offer of employment. Any and all offers of employment are made subject to satisfactory reference checks. If you are currently employed and would like us to delay contacting your current employer, you should inform the manager at time of interview. Please list your most recent employer first

Work History 1

Company Name (required)

Position (required)

Company Website (required)

Company Phone Number (required)

Responsibilities (required)

Country

Address Line 1

Address Line 2(optional)

City

County

State

Zip Code

Start Date (required)

End Date (required)

Reason for Leaving (required)

Starting Salary

Ending Salary

Education History

Education History 1

School Name (required)

Area of Study (required)

School Type (required)

Did you Graduate? (required)

Country

City (required)

State (required)

Powered by

Payroll & HR Software