PHOENIX COUNSELING CENTER JOB APPLICATION

  • PCC Application for Employment

  • Phoenix Counseling Center
    2505 Gaston Memorial Drive
    Gastonia, NC 28054

    Telephone: 704.718.8362  FAX: 704.397.5356

    PCC is an Equal Opportunity Employer We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

  • Date of Birth Used for Background Checks Only*
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  • Positions Applied For:*

  • Immigration Reform & Control Act

    After employment, you will be required to submit verification of your legal right to work in the United States. Phoenix Counseling Center employs only United States citizens or aliens who can provide proof of identity and work authorization within 3 working days of employment. Phoenix Counseling Center participates in E-Verify.

  • If you are less than 18 years of age, can you provide required proof of your eligibility to work. to include work permit*
  • Have you ever filed an application with us before?*
  • Have you ever been employed with us before?*
  • Are you currently employed?*
  • May we contact your present employer?*
  • Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment.*
  • Are you available to work:*
  • Do you have a valid driver's license?*
  • Do you have reliable transportation?*
  • Do you have automobile insurance?*
  • Have you been charged with and/or convicted of a felony?*
  • Have you been charged or released from employment due to workplace aggression/violence?*

  • Educational/Vocational Achievement

  • Specialized Skills*

  • Reasonable Accommodations:

    Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
  • Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?*

  • Applicant's Statement

  • I certify that the answers given herein are true and complete to the best of my knowledge.

    I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

    This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that

    I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing.

    In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

  • Date*
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  • Professional/Work References

  • List two past supervisors and one person who is not related to you who would have knowledge of your qualifications for the position for which you are applying.

  • Dates Available*
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