Please read the following information before completing this application:

GENERAL INFORMATION: ALL POSITIONS

Please do not complete the application if any of the following information will prevent you from accepting a position if it should be offered to you.

1. Starting Pay: Receptionist ($9.00/hr) Administrative Support Tech ($9.00/hr) Program Tech ($9.00/hr) CI w/less than 2000 hours ($12/hr) CI w/2000+ hours ($13.00/hr) Prevention Specialist I ($27,000 year)

Current available Program Tech shifts: S M T W TH F S Hours:_______________________________________________________________

2. We offer two weeks paid vacation annually for full time staff (Permanent part time employees receive a pro-rated benefit). 3. We offer a paid sick leave policy of 15 days per year for F/T employees. (Permanent part time employees receive a pro-rated benefit).

4. We offer 9 paid holidays annually for full time staff. (Does not apply to any part time staff)

5. Must be a High School Graduate or have a GED.

6. Must have a good driving record and be insurable through our insurance agent.

7. At this time, we are unable to provide Major Medical health insurance or retirement benefits. However, we offer supplemental policies from AFLAC through payroll deduction.

8. All applicants are subject to an initial criminal background check and pre-employment drug screen, as well as random drug screens throughout employment if applicable. Employment is not guaranteed upon completion of the criminal background check and/or drug screen.

Thank you for your interest in joining the professional staff of the Alcohol & Drug Abuse Council for the Concho Valley


Application for employment
We are an equal opportunity employer
Name
Name
Address
Address
Phone
Phone
Have you ever applied here before?
Have you ever worked here before?
If applying for a position that requires shift work, will you work any shift?
Education
Name; Location; Graduated
Name; Location; Graduated; Major
Name; Location; Graduated; Major
Military Experience:
National Guard Reserves?
Have you ever had any job-related training in the United States Military?
References
Please give Name, address, and phone number of three professional references
employment history
May we contact your current employer?
Have you ever been arrested for any criminal offense including misdemeanor, felony, or do you currently have any criminal charges including misdemeanor or felony pending against you in any court or any jurisdiction?
Have you ever been convicted or granted a pre-trial diversion, deferred adjudication or probation for any of these offenses?
Authorization *
I hereby authorize and request any or all of my former employers or any other person or corporation to furnish information concerning my personal background. I hereby release any such employer or other person, firm or corporation from or all liability by reason of furnishing the requested information. I understand that if employed; 1) any misrepresentation or omission of facts requested in this application is cause for dismissal and 2) my employment is for no definite period, and I may, regardless of the date of payment of my wages or salary, be terminated at any time without prior notice.