Family Advocate

High School Diploma or GED. Bachelor’s degree in social services field preferred. Must be able to obtain Family Service Credential within first year of employment.

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Please fill out the form below including uploading your resume in pdf format (you can export pdf from Microsoft Word or other similar programs).

First Name

Last Name

Email Address

Contact Number

Alternate Contact Number

Emergency Contact

Phone

Position Applied For

Education Completed

High School

College/University

Graduate

Other

If Other, please explain

Licenses currently held (LPC, LCSW, LCDC, etc.)

School Name/Location (highest level)

Degree (bachelors, masters, etc.)

Current Employer

Position and Duties

Start date

May we contact this employer?

Yes

Previous Employment History

List Three Personal References (unrelated and not previous employer)

Message / Comments

Tell us a little more about yourself.

Healing starts now.

Ready to take the first step? Fill out the short form below to get your consulation started. We will review your information and will be in touch shortly.