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Thank you for your interest in Herron Solutions.

Please take your time as you answer all questions completely.

When finished make sure to click on the submit button.

First name

Last name

Phone Number (Entering phone number and submitting application, allows for calls and texts related to employment)

Email

Birthday

Are you applying for full time or part time?

Full Time

Part Time

What position are you applying for?

Do you have a high school diploma or GED?

Yes

No

Please enter eduation, including high school or equivalent

Please Enter Employment History (Past 5 years)

Reference #1 (Name and Phone Number)

Reference #2 (Name and Phone Number)

Reference #3 (Name and Phone Number)

Referred by

Salary Desired

Date available to start

Have you ever worked remotely?

Yes

No

Do you do well with minimal supervision?

Yes

No

Have you ever worked a flexible schedule?

Yes

No

Do you hold any relevant certifications or licenses? If yes, please specify.

Have you completed any specialized training or coursework related to behavioral health? If yes, please provide details.

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?

Describe your experience working in a multidisciplinary team.

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

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.

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

I certifiy that I have watched the Herron Solutions video for the position I am applying (select all that apply):

Licensed Clinical Social Worker (LCSW)/Licensed Professional Clinical Counselor (LPCC)

Licensed Alcohol Drug Abuse Counselor (LADAC)

Comprehensive Community Support Services (CCSS)/CSW-UNM Certification https://www.herronsolutionsllc.com/csw

Certified Peer Support Worker (CPSW)-OPRE Certification

Herron Solutions, LLC.

Same day appointments available, through telehealth for clients with completed intake packets