Application for Employment

Youth Intensive Services is an equal opportunity employer. We are committed to our policy of providing equal employment opportunity to employees and job applicants in a manner consistent with applicable laws and regulations, including federal laws prohibiting employment discrimination on the basis of race, color, creed, national origin, sex, age, disability, or genetic information.

  • Date Format: MM slash DD slash YYYY

  • Date Format: MM slash DD slash YYYY



    List positions starting with most recent
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY


    (Do not include relatives)

    (Please read this statement carefully before signing this application):
  • I understand that employment with Youth Intensive Services is at-will, meaning that I or Youth Intensive Services may terminate my employment at any time, or for any reason consistent with applicable state or federal law.

    I authorize Youth Intensive Services to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Organization, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.I understand that Youth Intensive Services requires the successful completion of a drug and/or alcohol test as a condition of employment.

    I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY