Apply for Intern

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Intern
ID:1097
Location:Multi
Extra PRN Pay:Regular
Resume
Resume:
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Application Information
Employee Referral:
If you were referred from an individual, please provide name:
Opt-In Confirmation
I authorize recruiters from Ridgeview Behavioral Health Services to send text messages from 8778036705 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
Cover Letter:
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Application for Employment
PERSONAL INFORMATION
* Are you at least 18 years of age? (Employment is subject to verification of minimum legal age. Direct Care staff must be at least 18 years old.):
Yes   No
* Can you produce documented proof of your identity and eligibility for employment in the United States? (Examples: driver's license, Social Security card, birth certificate, and/or Immigration and Naturalization Service Documents):
Yes   No
* How soon could you report to work?:
* Type of employment desired:
Full-Time
Part Time
Contract
* Rate of pay expected:
* What days and hours?:
* Check each location you would consider:
Anderson County
Campbell County
Fentress/ Pickett Counties
Morgan County
Roane County
Scott County
Other
* Have you applied for a job with Ridgeview before?:
Yes   No
* Have you ever worked for Ridgeview before?:
Yes   No
If Yes, please provide details (Where/When/Job Title/Supervisor's Name):
If other, please explain:
* Have you ever been convicted of a violation of the law except a minor traffic violation? (A conviction will not necessarily disqualify you from employment with Ridgeview):
Yes   No
If yes, state the violation, date, city and state where offense occurred:
* Have you ever been discharged or requested to resign from a position?:
Yes   No
If yes, please explain:
* Are you currently employed?:
Yes   No
If so may we inquire of your present employer?:
Yes   No
If presently employed, why are you considering leaving?:
* Do you have any reason to believe that you would have difficulty meeting Ridgeview's work schedule?:
Yes   No
If yes, please explain:

EDUCATION
Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location Did you Graduate? Degree Received Subjects Studied/Major
*
*
Yes   No
*
*
Yes   No
Yes   No

If you have any applicable licensure/certifications or have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe:

PRIOR WORK RECORD
Provide past work history containing a continuous description of activities over a MINIMUM of the past five (5) years. If additional space is needed to meet this minimum requirement, include all required information in an attachment. Provide all dates of employment and contact information as shown below.

EMPLOYER 1

Employer Name & Address Dates Employed Employer Phone
*

*
From:
*

To:
*
*
Job Title Supervisor Name & Title May we Contact?
*
*

*
*
Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
*
*
Start:
*

End:
*

EMPLOYER 2

Employer Name & Address Dates Employed Employer Phone

From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

EMPLOYER 3

Employer Name & Address Dates Employed Employer Phone

From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate
Start:

End:

Please provide explanation for any gaps in employment history:

PERSONAL REFERENCES Please provide three personal references, including one of whom you have known for at least five years. Do not include former supervisors or family members.

Name Relationship Phone Number Email
*
*
*
*
*
*
*
*
*
PROFESSIONAL REFERENCES Please provide three professional references. Include individuals who have been your supervisor or have worked with you in a professional setting and have personal knowledge of your experience and qualifications.

Name Relationship Phone Number Email
*
*
*
*
*
*
*
*
*

JOB APPLICANT'S AGREEMENT AND CERTIFICATION
“I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information.”

“I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between Ridgeview and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Ridgeview unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that Ridgeview retains the same right.”

“If I am offered employment, I agree to submit to a physical examination whenever requested, and I understand my becoming employed and/or my continued employment are subject to the results of any physical examination related to my job duties in accordance with Ridgeview policies and procedures.”

“I understand that if employed, policies, and rules which are issued are not conditions of employment and that Ridgeview may revise policies or procedures in whole or in part, at any time.”

“I understand that this application will be kept on active file for 90 days from the date completed, after which time I would have to reapply in accordance with established Ridgeview procedures.”

* Signature (type name):
* Date:
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran's status, physical or mental disability, genetics, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond

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