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PGP Strengths Development Program
Pre-Employment Questionnaire

Equal Opportunity Employer

If your answer is YES to all of the following, then you are an excellent candidate to apply to PGP!

Are You?

Available*

Qualifications

21+ years of age*
  
Clear criminal record*
  
Clean driving record*
(Applicants with poor driving records will not be considered for any position.)
  
Reliable transportation*
(e.g. access to a vehicle)
  
Have a minimum of a HS diploma or equivalent*
  
Experience implementing behavioral interventions?*
Applies to IIC and BA applicants only; preferred, but not required, for Mentor / Parent Mentor applicants
    
Bachelor's Degree in a relevant social service related field?*
Applies to BA applicants only
    
NJ Clinical License (LPC, LCSW)*
Applies to IIC applicants only
    
Agree to exclusively provide services through PGP and no other CSOC-IIC agency.*
  

Personal Information

Employment Desired

Note: All positions are per diem / part-time.

Referred By

Education History

Clinicians Only
Licensure
Additional Licensure

Employment History

Professional References

Mental/behavioral health experience preferred, where applicable.

Authorization