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Who We Are

Employment Application

Passion. That’s the common attribute of those that work for our organization where recovery is the expectation.

We are dedicated to helping the people who utilize our services. If you’re ready to make a difference, browse our openings or upload your resume and tell us your interests. We’ll consider you for future opportunities.

Online Employment Application
How long at this address?
Volunteer?
Would you consider a volunteer position?
Number of hours that you can work weekly
Can you work nights?
Employment desired
Employment desired
Date Available to Start
Education
High School Information/Date Completed
College/Location/Years Completed/Degree/Date
Business or Trade School/Location/Date Completed
Professional/Graduate School-Location/Date Completed
Have you completed Intentional Peer Support training?
Have you ever been convicted of a crime?
Have you ever been convicted of a crime?
If Yes, Please document specifics
Do you have driver's license?
Have you had any auto accidents during the past 3 years?
number of accidents
Have you had any moving violations during the past 3 years?
moving violations
References (Two) Not a relative or employer
1.
2.
Employment History Last 5 Years
1.
2.
3.
By agreeing here, I authorize the Mental Health Association of Nebraska to complete background checks, also 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 dismissal.
I authorize investigation of all statements contained herein.
Month
/
Day
/
Year
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