First name

Last name

Are you over 18?

Yes

Are you applying for full time or part time?

Part-Time

Full-Time

What position are you applying for?

Do you have a high school diploma or GED?

Yes

Please enter education, including high school or equivalent

Please Enter Employment History (Must include the past 5 years)

Professional Reference #1 (Name and Phone Number)

Professional Reference #2 (Name and Phone Number)

Professional Reference #3 (Name and Phone Number)

Referred by

Salary Desired

Date available to start

Month

Day

Year

Have you ever worked remotely?

Do you do well with minimal supervision?

Have you ever worked a flexible schedule?

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

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

Briefly describe your previous work experience in behavioral health settings.

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.

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?

What therapeutic modalities or approaches are you proficient in?

How do you approach crisis intervention and de-escalation?

Describe your experience in conducting assessments and treatment plans.

What does maintaining personal boundaries with your clients 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 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?

What does your self-care look like?

What strategies do you use to prevent burnout and compassion fatigue?

Why are you interested in working specifically in behavioral health?

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.

Herron Solutions Employment Application