Employment Interest Form
Please fill this form out fully to indicate your contact information and any specifics regarding your potential desire to work with PSPG. Our management team will then review your information and reach out to set up interviews when appropriate. PLEASE ATTACH a RESUME. Thank you in advance for your time.
Name
First Name
Middle Name
Last Name
Contact Phone Number
Email
example@example.com
Level of Education (Check all that apply)
Associates
Bachelors
Masters
Doctorate
Current License or Certification (Check all that apply)
Law Enforcement Officer
Firefighter, Paramedic, EMT
Dispatch/Communications
Corrections Officer
Psychologist
LMHC or LMSW
LPCC, LISW, LCSW, or LMFT
Other
Current Job: Organization, Department, or Agency
Desired Employment Status (Check all that apply)
Full-Time
Part-Time
Contract
Salary
Hourly
Other
Desired Job Tasks (Check all that apply)
Training/Instruction
Scenario Facilitation
Peer Support
Counseling or Therapy
Psychological Assessment/Screening
Critical Incident Response
SWAT/CNT Consultation
Research/Statistics
Program Development
Other
Skills, Background Experience, and Training (Check all that apply)
Counseling, Therapy, or Psychological Assessment
CIT
CNT
Interview and Interrogation
Mental Health First Aid
Leadership and Supervision
Crisis Management
Trauma and PTSD
Peak Performance and Resiliency
Critical Incident Response
Other Relevant Training/Teaching Experience
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tell us a little about you and your interest in working with PSPG
Resume/Vitae Upload
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