Health Educator application

Name*
First Middle Last
Phone*
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Are you eligible to work in the US?*
- Yes
- No
If you are under age 18, do you have employment/age certificates?
- Yes
- No
Upload your Resume and/or Certifications / Licenses
Accepted file types: pdf, Max. file size: 512 MB.
Please upload your documents in PDF format
Message / Comments
Please tell us a litttle bit about what type of wellness offerings you’d like to bring to the ATC.

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If you are in recovery, please state your amount of clean time and anniversary month and year
Sponsor or Mentor (very important)*
If you have a sponsor, do you have their permission to participate?
- Yes
- No
- Not Applicable
Would you be willing to to complete up to 8 hours of paid online training videos from the county?*
- Yes
- No
Have you signed up for our online stress-relief tool, Zonr, on the AT Center hompage?*
- Yes
- No
If not, please go to this link to enter your email and then return to the application.
Sign up here

http://visitor.r20.constantcontact.com/d.jsp?llr=cmjn4vdab&p=oi&m=1103470437762&sit=f4lisuefb&f=e5a31cca-a371-4ad1-99e3-348560634a13
References (Optional)
Name / Title / Address / Phone
Verification
- I certify that information contained in this application is true and complete. I understand that false information may be grounds for not accepting my application or for immediate dismissal at any point in the future if I am hired. I authorize the verification of any or all information listed above.
Website
Email
This field is for validation purposes and should be left unchanged.

Save and Continue Later