Careers at Inclusive Recovery

Your Information

First Name*:

Last Name*:

Email*:

Phone Number:

Current Address:

Projected Start Date (of current year):

Availability:

Current Employment

skip this section if not applicable

Are you currently employed?YesNo

If you are currently employed, may we contact your employer?YesNo

Current Employer & Contact Information:

Position Information

Which Position Are You Applying For*:—Please choose an option—Peer Services Coordinator (Inclusive Recovery Athens)

How did you hear about this position? (check all that apply):ARC NewsletterFacebook or other social media postingRecruitment SiteGoogle SearchWord of mouth (please specify who told you about the position in the "other" line" belowOther

If other:

CARES Certification / Education

Are you CARES Certified?:YesNo

What is your highest level of education (provide all degrees, certifications, and/or licensures):

CARES Eligibility

do you meet CARES eligibility requirements

Do you have a high school diploma or GED*?YesNo

Professional References

please provide two (2)

Reference 1 Name*:

Reference 1 Email*:

Reference 1 Phone*:

Reference 2 Name*:

Reference 2 Email*:

Reference 2 Phone*:

Personal References

please provide one (1)

Name*:

Email*:

Phone*:

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