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  • Dear Applicant:

    Second Chances Counseling and Wellness would like to thank you for considering employment with our agency.

    To complete your application, you must  include the following items. Please be aware that

    incomplete applications will not  be considered for employment or offered a contract.

    Fill out the application completely; leaving questions blank may eliminate you.

    Document your complete employment history. 

    Required employee documentation will be requested upon confirmed employment. If you like you may include this documentation with your application. If so, Include a photocopy of your valid Driver’s License and Social Security Card.

    Include a photocopy of any credentials you may have such as CNA I II III, CPR, First Aid, LPC, LCSW, etc.

    A photocopy of your high school diploma and when applying for a

    position that requires a college degree, a photocopy of your college

    diploma and OFFICIAL transcripts.

    A photocopy of the declaration page of your current automobile insurance policy,

    which indicates the company name, limits of liability, and the date of expiration. If

    you are covered under someone else’s insurance, your name must be listed as a

    driver.

    You will be contacted for an interview after your completed application is returned and as a consumer census warrant. If you are offered and accept the position, then the following

    documents must be provided:

    1. A copy of one of the following: TB skin test / Chest x-ray / TB symptom

    form completed within the past 12 months. You may obtain this through

    your local Health Department.

    2. Drug Screening Test. * YOU MUST PAY THE FEES FOR THESE SCREENINGS*

    Fees will be reimbursed after successful completion of ninety (90) days into your contract.

    If you have any questions regarding the application or the additional documentation, please

    do not hesitate to call our office on the telephone number listed above.

    Thank you!

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  • SCCW Employment Application

  • Personal Information:

  • Employment Desired:

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  • Education:

  • Skills/Qualifications:

  • Current Employment:

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  • Previous Employment:

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  • References:

  • Cover Letter & Resume (Optional):

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  • Send Application:

  • By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.  

    In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.  

    I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.  

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