Odyssey Family Counseling Center, Inc.
Application for Employment

Odyssey Family Counseling Center, Inc. is an equal opportunity employer committed to excellence through diversity. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact us.

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The application must be completely filled out to be considered.

Personal Information
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Address*
Address City State Zip
Phone number*
Email address*
Are you legally eligible to work in the US?*
- Yes
- No
Are you a veteran?*
- Yes
- No
If selected for employment are you willing to submit to a background check, finger printing, and drug screen?*
- Yes
- No
Position
Position you are applying for*
Available start date*
MM slash DD slash YYYY
Desired pay*
Employment desired*
- Full time
- Part Time
- Internship
REFERENCES - Personal and Professional
No. of References*
- 1
- 2
- 3
- 4
Reference 1
Name*
First Last
Title*
Company*
Phone*
Reference 2
Name*
First Last
Title*
Company*
Phone*
Reference 3
Name*
First Last
Title*
Company*
Phone*
Reference 4
Name*
First Last
Title*
Company*
Phone*
Signature Disclaimer
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated.
Name*
First Last
Date*
MM slash DD slash YYYY
Signature*
Phone
This field is for validation purposes and should be left unchanged.

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Get In Touch!

1919 John Wesley Avenue
College Park, GA 30337
(404) 762-9190
(404) 762-9101
info@odysseycounseling.org

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Odyssey provides mental health and substance abuse treatment and prevention and education services to all ages, incomes, and cultures. Your donation will help provide services to low-income individuals and families who otherwise cannot access the mental health care they need.

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Odyssey Family Counseling Center, Inc.Application for Employment

Send in Your Job Application Form Today

Personal Information

Position

REFERENCES - Personal and Professional

Signature Disclaimer

Keep Up!

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Odyssey Family Counseling Center, Inc.
Application for Employment