Crisis Intervention Manager

New JD - Crisis Intervention Manager

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*Date

*Applicant Name

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Your Preferred Pronouns

*E-Mail

*Present Address

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Please provide your full address

Permanent Address

*Telephone Number

*Best time to contact you at home

*Emergency Contact Name

*Emergency Contact Phone

*Emergency Contact Relationship

*Do you speak any other langauge?

Yes     No    

If yes, what language?

*Are you a U.S. citizen or permanent resident?

Yes     No    

Verification of identity and employment authorization will be required

*If no, are you authorized to work in the United States under a VISA? Please provide detials, including dates

*Are you related to anyone that is or has been employed by BATP?

Yes     No    

*Have you previously called our Hotline, or met with BATP Staff or a Volunteer for information and assistance?

Yes     No    

If yes to the above question, please list whenIf you have received services of any type from Bay Area Turning Point within the last 12 months or are currently receiving services we cannot accept your application for employment at this time

Position Desired

*Date you can Start

*Are you avaliable to work

Full Time     Part Time     Temporary    

*Salary Desired

*Have you previously worked for BATP?

Yes     No    

If yes, please list dates of employment

If yes, what position did you hold?

If yes, what was your reason for leaving

If no, have you ever filed an application with BATP before?

Yes     No    

If yes, when?

*How did you learn about this opening?

*Are you currently employed?

Yes     No    

*May we contact your present emplyer?

Yes     No    

*Can you travel if a job requires it?

Yes     No    

Education

*High School

*Graduated?

Yes     No    

*Course of study

College/University

Gradated?

Yes     No    

Course of Study

Postgraduate School

Graduated?

Yes     No    

Course of Study

Other education or training

*Please rate your computer skills from 1-5, with 5 being proficient:

*Are you familiar with PC or MAC

PC     MAC     Both    

Other special skills

Please list any professional organizations to which you belong

Military Experience

Branch of Service

Dates Served

Rank at Discharge

Education and Training

Work Experience

Please list previous 10 years of employment, beginning with the most recent. If you need more room, you may upload another sheet of paper

*Employer

*Address

*Date of Employment

*Position Held

*Reason for leaving

*Name and Title of Supervisor

*May We Contact Them?

Yes     No    

*Description of Duties

*Starting Salary

*Final Salary

Employer

Address

Date of Employment Held

Position Held

Reason for Leaving

Name and Title of Supervisor

May We Contact Them?

Yes     No    

Description of Duties

Starting Salary

Final Salary

Employer

Address

Date of Employment Held

Position Held

Reason for Leaving

Name and Title of Supervisor

May We Contact Them?

Yes     No    

Description of Duties

Starting Salary

Final Salary

*Have you ever been convicted of a crime, felony or misdemeanor?

Yes     No    

Convictions of fraud, theft or assault will automatically be barred from employment. Any other convictions will be considered based on the following: the nature and date of the offense and the job for which you are applying for, job-related purposes, and only to the extent permitted by applicable law. All employees of Bay Area Turning Point are required to complete and submit a Criminal Background Check before the first day of employment.

If yes, give details, including dates

References

*Name of Reference

*Address

*Phone Number

*Email address:

*Is this a work/business/personal reference?

*May we contact them?

Yes     No    

*Name of Reference

*Address

*Phone Number

*Email

*Is this a work/business/personal reference?

*May we contact them?

Yes     No    

*Please attach your resume

Fields with (*) are compulsory.