Application Form

Please use this form to submit all relevant information relating to applying.

First Name

Last Name

Email address

Please enter contact information for 3 references below.

Please upload Cover Letter here (PDF, .doc, or .docx)

Files must be less than 2 MB.
Allowed file types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit tar zip.

Please upload CV here (PDF, .doc, or .docx)

Files must be less than 2 MB.
Allowed file types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit tar zip.

Do you speak fluent Spanish?

Yes

No

Please indicate if you are able to speak fluent Spanish, and provide care in the Spanish language.

If you are selected to interview, please select AT LEAST TWO of the following clinics to interview at:

South of Market Mental Health Services

Mission Mental Health (Spanish speakers encouraged)

Chinatown Northbeach

Department of State Hospitals (DSH) at Napa State Hospital

If you are selected to interview, please select UP TO ONE REMAINING clinics from the following list (for a total of three potential interview sites)

TRUST Clinic (Alameda)

HealthRIGHT 360

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