Please complete this on line application. Also send an email with your CV and two
de-identified psychological evaluations attached to [email protected] and arrange to have 3 letters of references
sent to this email. Each letter should come from the email address of the person
making the recommendation.
Other than English, which languages do you speak?
Please also indicate level of fluency (i.e. some knowledge, conversational or bilingual) as well as level of training/experience in both written and spoken formats.
Please indicate your level of proficiency with the following areas, using a scale
(0 = no training/experience, 3 = moderate training/experience,
5 = advanced training/experience):
Tell us why you are interested in our training program. The residency training program
is intended for applicants who are committed to practice careers as behavioral health
providers in FQHCs and other safety net settings. Please include your short-term
and long-term goals as a psychologist and how will coming to this residency better
equip you to accomplish those goals.
We especially want to hear what attracts you to our setting and model of care, what
you feel you can bring to CHC and what you hope to get out of a year of postdoctoral
training. Please refer to our web site at
www.chcpostdoc.com for background information on our agency and training
program. The successful applicant will show an understanding of our mission, model,
and methods and discuss how they see themselves contributing and benefiting from
a year with us. As a postdoctoral resident, the successful applicant will be hired
as a full time contracted employee of Community Health Center, Inc. for the postdoctoral
In addition to the above information, we may require that parts of our standard
employment application be completed.
I certify that the answers given in this application are true to the best of my
I understand that the use of this application form does not indicate that there
are any positions open and does not in any way obligate Community Health Center,
Inc. to offer employment.
I understand that should I be granted an interview, no representations that may
be made at the interview are to be construed as creating any obligation, promise
or contract on behalf of Community Health Center, Inc. I understand that the lack
of truthfulness, misleading information or material omissions given in my application,
resumes, interview(s) or during the course of my employment are grounds to terminate
the hiring process or employment whenever they are discovered.
I understand that acceptance for employment shall depend on satisfactory replies
from my references and other background checks.
I have read, understood and agree to