HEALTHY HEALING

COUNSELING, INC.

Employment Application

Healthy Healing Counseling, Inc.

166 Old Waterville Road, Suite #1
Oakland, Maine 04963
(207) 465-9001

Applicant Information

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Education

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References

Please list three professional references.
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Previous Employment

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Military Service

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Disclaimer and Signature

By submitting this form I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I understand that if I am interviewed, I will be required to sign and date this application.

Signature: ______________________________________________

Date: ________________________

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"All you can change is yourself, but sometimes that changes everything!" - - Gary W. Goldstein

Contact Us

Healthy Healing Counseling, Inc.

166 Old Waterville Rd, Suite 1
Oakland, Maine 04963

Phone (207) 465-9001
Fax (207) 716-1474

Email Us

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