Name *

First Name

Last Name

Phone *

(###)

###

####

Position applying for *

Music Therapist (MT-BC required)

Art Therapist (ATR-BC, ATR, ATR-Provisional or Master's in art therapy required)

Registered Horticultural Therapist (HTR required)

Earliest available start date *

MM

DD

YYYY

I confirm that I am legally authorized to work in the United States, and I understand that proof of eligibility to work in the U.S. will be required upon employment. *

Yes

I hereby authorize Earthtones Northwest to conduct a pre-employment background check, including but not limited to a criminal records check, as part of the hiring process. *

Yes