Herron Solutions Employment Application

First name

Last name

Phone Number

Are you over 18?

Yes

What position are you applying for?

Recovery-Based Roles: Some positions require that staff maintain an ongoing commitment to recovery and serve as a positive role model. Are you currently in stable recovery and able to model recovery principles?

Yes

When date you start?

Referred by

How much do you need to make per week before taxes?

What is your highest level of education?

Do you hold any relevant certifications or licenses related to the behavioral health field? If yes, please specify

Please Enter Employment History (Must include the past 5 years: Business Name, Main Contact, Phone Number, Start and End Date)

Professional Reference #1 (Name and Phone Number)

Professional Reference #2 (Name and Phone Number)

Professional Reference #3 (Name and Phone Number)

Have you ever worked remotely (Not in an office setting)?

Have you ever worked a flexible schedule?

Are you able to work independently with minimal supervision? If yes, describe the purpose and your understanding of minimal supervision.

Client notes must be completed within 48 hours of meeting with a client. Can you describe how you manage your time effectively to meet deadlines while ensuring accuracy and quality in your work?

How many years of experience do you have in the behavioral health field?

Briefly describe your previous work experience in behavioral health settings.

Why are you interested in working specifically in behavioral health at Herron Solutions?

Have you worked with specific populations (e.g., children, adolescents, adults, elderly)? If yes, please specify.

Are there any populations that you will not work with? If yes, please explain.

What therapeutic modalities or approaches do you have experience in?

What does Compassion, Love and Respect mean to you?

How do you adhere to ethics and boundaries?

What steps do you take to ensure confidentiality and privacy of client information? How have you practiced HIPAA in settings you have previously worked?

What does maintaining personal and professional boundaries with your clients mean to you?

Have you ever had to leave a role without sufficient notice? If so, how did you address the impact on your clients (patients, customers, etc.) and team? What did you learn from the experience?

How do you approach crisis intervention and de-escalation?

Describe your experience in conducting assessments and treatment plans.

How do you communicate and collaborate with colleagues to provide comprehensive care to clients?

How do you handle working with someone who has a different personality than you?

Can you share an example of a time when you received constructive criticism and how you used it to improve your work?

Can you describe a situation where someone expressed a disagreement or criticism towards you, and how you responded to address the concern while maintaining a positive working relationship?

We believe in doing the right thing, even when no one is watching. What does this mean to you?

What strategies do you use to prevent burnout and compassion fatigue? What does self care look like for you?

What do you hope to contribute to our team?

Is there anything else you would like us to know about you or your qualifications?

Herron Solutions employees adhere to strict drug free policy due to the populations that we serve and the services we provide. Checking the box below acknowledges that pre-drug screening and random drug screening is a part of Herron Solutions.

Please select all that apply:

I acknowledge that pre-drug screening and random drug screening is a part of Herron Solutions.

I acknowledge that I may be drug tested prior to employment and during employment at Herron Solutions.

I certifiy that I have completely watched the Herron Solutions video for the position I am applying.