Online Interview

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Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:

Position:

Please select the response that best describes your area of expertise in the counseling or social work field: Alcohol & substance abuse counseling Child, family & school social work General counseling and social work Medical & public health social work Mental health couseling Community correction work Multiple areas of expertise Other areas not referenced Does not apply

Education:

Please respond to selection that describes your highest level of education: High School or equivalent Some college coursework Two-year college degree Four-year college degree Beyond a four-year college degree

If you have completed post high school education, have your studies been related to social work or counseling? Yes No

If you have a college degree, what was your major area of study? Counseling or psychology Social sciences or human services Not applicable

Do you have or are you pursuing state licensure or CSW or MSW professional certification? Yes No

Experience:

How many years experience do you have in the Counseling field? New to this field or less than one year 1 to 3 years 3 to 5 years 5 to 10 years 10 or more

How many years experience do you have as a Social Worker or Counselor? New to this field or less than one year 1 to 3 years 3 to 5 years 5 to 10 years 10 or more

Do you have past experience; or, are you currently in a Counselor Aide position? Yes No

Do you have experience counseling in alcohol or substance abuse cases --- as well as in prevention and treatment? Yes No

Do you have experience in the direct care and counsel youths in a school setting or in a community correction worker capacity? Yes No

Do you have experience working with adolescents in an institutional or group setting? Yes No

Do you have experience working with the mentally challenged or emotionally disturbed? Yes No

Do you have experience teaching counseling or social work? Yes No

Have you worked or do you work in a clinical staff setting? Yes No

Do you have experience in family-related counseling or social work? Yes No

Do you have experience with direct one on one counseling or group counseling? One on one Group Both Not applicable

Do you have working knowledge of PC software applications for maintaining case files or other related records? Yes No

Please select the response that best describes your level of management experience: Coaching or training others Supervisory or team leadership experience Teaching experience No applied experience

General:

Are you at least 18 years of age and eligible to work in the United States? Yes No

Are you at least 16 years of age and eligible to work in the United States? Yes No

Are you interested in working full time or part time? Full time Part time

What type of employment are you willing to accept? Regular Long Term Contract Other temporary Any

If required for this position, how much time are you willing to travel? No travel Occasional travel Travel often Flexible

Are you bi-lingual or multi-lingual? Yes No

In addition to English, in which language are you most fluent? Spanish French Italian German Russian Chinese Japanese Other None

If extended an offer of employment, when would you be able to begin work? Immediately 1 Week 2 Weeks 3 Weeks 4 Weeks or more

Whether you have indicated part-time or full time employment preference, please indicate what annual compensation level you are looking to receive: Up to $20,000 In the $20,000 range In the $30,000 range In the $40,000 range In the $50,000 range Negotiable

Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing? Yes No

Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks? Yes No

When is the best time to reach you? From 8:00 am - Noon From Noon - 5:00 pm From 5:00 pm - 8:00 pm

How many miles from your home are you willing to travel to work? Up to 5 miles Up to 10 miles Up to 20 miles Over 20 miles

Are you now or have you been a member of the United States Military, National Guard or Reserves? No I am a Veteran of the United States military I am currently a member of the United States military I am currently a member of the National Guard or Reserves I was a member of the National Guard or Reserves

Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.
Additional Info:

Terms of Service: By completing this Online Interview and clicking the "Submit" button, you give CAJobs permission to release the information contained in the Online Interview, including contact information and employment history, to employers who may be interested in hiring you.