Application for Employment

Please note: Becoming employed with our agency requires a clean driving record, background checks, and proof of authorization to work in the United States.

If you need assistance or accomodations in completeing the application process please contact Recruitment Staff at (802) 388-6751 or

Contact Information

Job Interest

Type of employment sought
Shift Sought

Employment History

If resume attached, please skip to next section
Additional References

Other Information

A position with this agency may involve responsibility for the care of vulnerable people, therefore, it is important for us to know the following facts about you:

Driving Information

I understand that the Counseling Service of Addison County generally does NOT provide clinical services to staff members, their families, or members of their household. If you or a member of your family are recieving services from us now, you will generally need to terminate those services in order to start working here. If you or a family member needs to start receiving services after you are employed, they will generally have to obtain services from a different provider- either a private provider of from an agency in a different county.

Please read carefully before submitting your application

• I certify that all information contained in this application (and attached resume, if applicable) is true and correct to the best of my knowledge and belief. I understand that false information in my application materials is grounds for refusing to hire me or for termination after hire. • I authorize the Counseling Service of Addison County to conduct a reference check with my present and previous employers. I understand that CSAC may contact individuals suggested by me and also individuals whom I may not have suggested. Information sought includes (but is not limited to) my employment performance, rehire potential, dates of employment, salary, and employment history. • I understand that all offers of employment are contingent upon successful background check. • I understand upon receiving a job offer, a physical examination and screening are required for certain positions. • I also acknowledge that my employment may be terminated or any offer or acceptance of employment withdrawn at any time with or without cause, and with or without prior notice at the option of either the organization or myself.
Please upload resume a second time, if uploaded, to ensure delivery to recipients

Equal Opportunity Employer: Qualified applicants receive equal consideration. No question is asked for the purpose of excluding any applicant due to race, creed, color, national origin, religion, age, sex, handicap, veteran status, marital status, sexual orientation, or any other characteristic protected by state or federal law. We are an equal opportunity employer. Reasonable accommodation shall be made upon request to insure that all the benefits, services and activities of the Counseling Service of Addison County, Inc. are fully accessible to all individuals.

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