Get Cameron Program Info May 2013 - Memorial Hermann Parc

Filling out the Cameron Program Info form online is a crucial step for those interested in the Cameron Foundation Chemical Dependency Fellowship Program. This guide will provide you with clear and detailed instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the application.

1. Click the 'Get Form' button to access the form. This opens the document in an editing environment where you can begin the application process.
2. Enter today's date in the designated field to ensure the application is current.
3. Fill in your personal data including your name, date of birth, address, city, zip code, and phone numbers (home, work, and cell) in the appropriate sections.
4. Provide your email address and Texas Driver's License number, as well as your Social Security number.
5. Indicate your current work status by checking the appropriate box (unemployed, self-employed, employed part-time, or employed full-time).
6. List your educational history, including the name of the school, diploma/degree obtained, major or focus, and dates of attendance.
7. Document your behavioral health-related experience including the place of employment, position held, and dates of employment.
8. Enter information regarding your licensure status, such as License and License Number, Date Issued, Expiration Date, number of hours completed, and score on board exams.
9. Describe any unique skills or other relevant experiences that may support your application.
10. Provide names and contact information for at least three professional references along with their relationship to you.
11. Complete the background check consent questions and sign the Background Check Consent and Waiver Release Form.
12. Finally, review your completed application for accuracy and ensure that all required materials, including transcripts and letters of recommendation, are attached.
13. Save your completed form. Depending on your needs, you can download, print, or share the document when finished.

Take the next step in your career by completing the Cameron Program Info form online today.