PHR Online Job Application Form

4D Recovery / Painted Horse Recovery is an equal opportunity employer. 4D and Painted Horse Recovery do not discriminate in employment with regard to age (40 and older), ancestry, sex, sexual orientation, pregnancy (including childbirth, lactation, and related medical conditions), gender (including transgender status, gender identity or expression), race (including physical characteristics that are historically associated with race including, but not limited to, natural hair, hair texture, hair type, and protective hairstyles such as hair color or manner of wearing hair that includes, for example, braids, regardless of whether the braids are created with extensions or styled with adornments, locs, and twists), religion, color, national origin, physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws.

If you need any form of accommodation for this application process, please email hr@4drecovery.org or call 971-380-7525.

Name*

First NameLast Name

Pronouns

Pronouns you would like us to use for you during the application/interview process, e.g. she/her, he/they

E-mail*

example@example.com

Phone Number*

Applied Position*

Location*

Earliest Possible Start Date

Date

Statement of Intent*

Please share why you are interested in the position and/or what makes you a good fit. We do not expect a perfect essay, but rather want to get to know who you are and why you want to join us here at Painted Horse Recovery.

Upload Resume*

Any Other Documents to Upload (Optional)

You can share certificates, diplomas, etc.

Have you ever received recovery services from 4D, Painted Horse, or True Colors Recovery? This can include having a mentor, case management, or receiving rental assistance.*

YesNo

Are you currently receiving services from 4D, Painted Horse, or True Colors Recovery?*

YesNo

What is the date you disenrolled from services? Approximate if you're not sure.*

Date

If you receive an offer of employment, you will need to be disenrolled from services for 30 days prior to the start of employment. Will you be able to stop receiving services and wait that period before starting work?*

YesNo

Anything else you'd like to share? (Optional)

Upcoming trips/vacations, accommodation requests for the application process, etc.

I have provided all required materials for my application:*

ResumeStatement of IntentCertifications (as applicable)

I have reviewed and understand the job description for which I am applying, and I agree that I meet the required qualifications.*

YesI need help finding the job description

I have read the background check requirements for this position, and I agree that I meet the requirements.*

YesI need help finding the job description

I have reviewed and agree that I currently hold all of the required certifications and licenses for this position (including CRM, CADC, LMT, MSW, Driver's License, etc.).*

YesI need help finding the job description

Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for 4D Recovery (or fiscal sponsees Painted Horse Recovery or True Colors Recovery) to hire me. If I am hired, I understand that either 4D Recovery or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of 4D Recovery has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to 4D Recovery true and complete information on this application. No requested information has been concealed. I authorize 4D Recovery to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Signature*