Please enable JavaScript in your browser to complete this form.Please select any position(s) that you would like to be considered for: *Mental Health ClinicianTargeted Case ManagerBehavioral Health ProfessionalAdministrative CoordinatorOther (specify below)Specify if 'Other' is selected aboveName *FirstLastEmail *Phone Number *Street Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeUpload your resume * Click or drag a file to this area to upload. Please attach a resume containing accurate and complete information regarding your education and work history, to include years worked at each employer. Be sure to include any licenses or certifications pertinent to the job in which you are applying for.Have ever been convicted of any violation of law by any court of law? *YesNoInclude any guilty pleas entered, military court martial, traffic violation convictions for Operating Under the Influence (OUI), or traffic violations that resulted in your license being suspended. Do not include here any juvenile adjudications or traffic violations not listed above. Not all conviction(s) or adjudication(s) will automatically disqualify you from employment but will be considered in relation to specific job requirements. Omission or misrepresentation of this information will result in employment ineligibility. Allied Community Services LLC conducts background checks. Please indicate your authorization for Allied Community Services LLC conduct any investigates as a condition of employment. *I hereby authorize Allied Community Services LLC to make all necessary investigations concerning me, my work habits, character, or my action in any transaction. Allied Community Services LLC can check my driving record if the position for which I am applying requires driving. I understand that I may be asked to submit to a pre-employment drug test and/or a criminal history background check as a condition of employment.I do not authorize Allied Community Services LLC to investigate or run any background checks as a condition of employment.Type your first and last name below to sign this job application electronically. *You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By submitting this application using any device, means or action, you consent to the legally binding terms and conditions of this application. You further agree that your signature on this application (hereafter referred to as your “E-Signature”) is as valid as if you signed the document in writing. E-Signature Date *I certify, under penalty of law, that the information given in this application and supporting documents (resume/cover letter etc.) are correct and complete to the best of my knowledge. I am aware that, should investigation at any time show falsification, I will not be considered for employment or, if employed, I may be dismissed. Submit