Paramount Behavioral
Services, Inc.

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Employment Application

Please fill out this form all at once to avoid filling it out again. We recommend having your resume or other materials handy before you start, and refresh the page once before you begin. Required fields have light yellow backgrounds, but you should fill out all fields possible. You will need to complete a background check form as well.



Please list three professional references.

First reference:

Second reference:

Third reference:

Previous Employment

First job:

Second job:

Third job:

Military Service

Paramount Behavioral Services is an Equal Opportunity Employer. We consider all applicants for all positions without regard to race or color, sex, sexual orientation, physical or mental disability, genetic information, religion, age, ancestry or national origin, marital status or any other legally protected status.

Authorization and Signature

I certify that my answers are true and complete to the best of my knowledge. I authorize the investigation of all statements contained in this application for the purposes of evaluating my application and eligibility for employment; as such investigation may be a necessary step in arriving at an employment decision. If this application leads to employment, I understand that false or misleading information in my application or interview may result in termination of employment.

By entering my name in the SIGNATURE field provided below, I have signed the employment application.

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