Job Application RISE Youth & Family Job Application "*" indicates required fields First and Last Name*Phone*Email* Enter Email Confirm Email Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employment Position* Crisis Stabilizer Therapist Mentor Program Supervisor Other Desired Start Date MM slash DD slash YYYY Salary DesiredHave you ever applied or worked for RISE Youth & Family Services before?* Yes No Do you have any friends, relatives or acquaintances working here now or in the past?* Yes No Are you over 18 years of age?* Yes No Are you a US citizen or approved to work in the US?* Yes No Do you have a current driver’s license?* Yes No Have you ever had your driver’s license suspended?* Yes No Do you have auto insurance?* Yes No Have you ever been convicted of a criminal offense (felony or misdemeanor)?* Yes No (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)Consent* I have read and consent to the Privacy NoticeIn this document, “my personal information” includes but is not limited to my name; address; or contact information such as telephone number(s), email address(es) and residential address; educational, professional and employment history, records, certifications and information; information on memberships in organizations or political groups; and criminal records, if any; performance information and other information you provided to us.Upload Resume & Letter Drop files here or Select files Accepted file types: doc, pdf, Max. file size: 100 MB. Please upload your résumé and cover letter.References Drop files here or Select files Accepted file types: doc, pdf, Max. file size: 100 MB. Please attach 2 professional letters of reference.
