Apply for Opioid Use Disorder (OUD) Peer Support Specialist- St. Margaret's

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Summary
Title:Opioid Use Disorder (OUD) Peer Support Specialist- St. Margaret's
ID:616
Dept:20 - SMS
Location:Spokane
Contact Information
* Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
* Resume:
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* Cover Letter:
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Application for Employment
Personal Information
* Hours desired:
* Date available:
List other names that you have worked under:
* Are you legally eligible to work in the United States of America:
(Hiring is subject to verification that applicant meets legal age & U.S. work permit requirements.)
Yes   No
* Have you ever applied for a position with our organization:
Yes   No
If you answered yes to the above question, when:
* How did you hear about our job opening:
Catholic Charities Website
Newspaper Ad
Internet advertising
Employee referral
Worksource Website
Church Bulletin
Job posting at school
Visit to organization
Professional Organization
Recruiting Firm
Other
If Other, please specify:

Education
  Name City/State Major Subject Degree/Diploma
High School
College
College
Graduate School
Trade/Tech School
GED
Other

Please list any other special training, skills and certificates which would tell us more about your qualifications for this job:

Licenses / Professional Organizations
* Do you have a current Washington State License (e.g., RN, LPN, PT, etc) for the position for which you are applying:
Yes   No
* Have you ever been denied membership, or renewal thereof, or been subject to disciplinary action in any professional organization:
Yes   No
If you answered yes to the above questions, please explain:

Employment History
Beginning with your current or most recent job, fill in your work history and/or volunteer experience.

Current or Most Recent Employer
Employer Address Dates Employed
From: To:
Supervisor Phone May we contact? Position Held Reason for leaving
Yes   No
Duties
Specific Machinery Operated Beginning Salary Ending Salary


Previous Employer
Employer Address Dates Employed
From: To:
Supervisor Phone May we contact? Position Held Reason for leaving
Yes   No
Duties
Specific Machinery Operated Beginning Salary Ending Salary


Previous Employer
Employer Address Dates Employed
From: To:
Supervisor Phone May we contact? Position Held Reason for leaving
Yes   No
Duties
Specific Machinery Operated Beginning Salary Ending Salary


Previous Employer
Employer Address Dates Employed
From: To:
Supervisor Phone May we contact? Position Held Reason for leaving
Yes   No
Duties
Specific Machinery Operated Beginning Salary Ending Salary


Previous Employer
Employer Address Dates Employed
From: To:
Supervisor Phone May we contact? Position Held Reason for leaving
Yes   No
Duties
Specific Machinery Operated Beginning Salary Ending Salary


Previous Employer
Employer Address Dates Employed
From: To:
Supervisor Phone May we contact? Position Held Reason for leaving
Yes   No
Duties
Specific Machinery Operated Beginning Salary Ending Salary

Other Information
* Do you speak a foreign language:
Yes   No
If you answered yes to the above question, which language(s) do you speak:
Give name of any relative (by blood or marriage) employed by or serving in any capacity on the Board of Directors or any standing committee of Catholic Charities:

Work & Professional References
Name Phone # Email Relationship

Certification & Agreement - Read Carefully and Sign
I certify that all the information I have provided on this application and accompanying document is true and correct.

I authorize all previous employers to furnish Catholic Charities Eastern Washington, to the extent permitted by Federal and State law, my reason for leaving, my performance history, and all other information they may have concerning my employment with them. I also understand that my employment may be contingent upon satisfactory completion of credit, educational, and criminal background checks. I release all of my previous employers, educational institutions, credit agencies, and Catholic Charities Eastern Washington from all liability that may arise from such investigations.

By signing this application I authorize Catholic Charities Eastern Washington to make investigations and I indicate my awareness that false statements or failures to disclose certain information may be sufficient to disqualify me from employment, or if employed, may result in my dismissal.

I understand that employment is at will, that it is not guaranteed for any term, and that my employment may be terminated by Catholic Charities Eastern Washington or myself at any time and for any reason. I understand that neither this form nor statements by representatives of Catholic Charities Eastern Washington constitutes an employment contract.

* Signature of Applicant (type name):
* Date:

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