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Home
Services
News
Employment
- GCCMH Application
- Learn About Our Community
Info
Contracted Providers
Calendar
GCCMH Board

CLS/Respite position

*Please note, this CLS/Respite positions will not be employed directly by GCCMH. They are employed by the consumer to provide the services.

Employment Application - CLS/Respite position

*Please note, this CLS/Respite positions will not be employed directly by GCCMH. They are employed by the consumer to provide the services.

Position for which you are applying:
Name
First Middle Last
Address City State ZIP Code
Phone Number
Email
Are you at least 18yrs of age or older?*
- Yes
- No
Are you eligible to work in the U.S.?*
- Yes
- No
Can you work any shift?
- Yes
- No
Can you work overtime, including weekends?
- Yes
- No
Do you have a valid driver's license?
Are you capable of performing with or without reasonable accommodation (special assistance, equipment or other help), the activities involved in the job or occupation for which you have applied?
If accommodations are needed, please explain
Accommodation Description
Education
Name and Location of School - 1
Degree/Diploma Received - 1
Number of Years Attended? - 1
Please enter a number from 0 to 10.
Did you graduate? - 1
- Yes
- No
Education (cont)
Name and Location of School - 2
Degree/Diploma Received - 2
Number of Years Attended? - 2
Please enter a number from 0 to 10.
Did you graduate? - 2
- Yes
- No
Education (cont)
Name and Location of School - 3
Degree/Diploma Received - 3
Number of Years Attended? - 3
Please enter a number from 0 to 10.
Did you graduate? - 3
- Yes
- No
Education (cont)
Name and Location of School - 4
Degree/Diploma Received - 4
Number of Years Attended? - 4
Please enter a number from 0 to 10.
Did you graduate? - 4
- Yes
- No
Employment History
How many employers have you have in the last five (5) years?
Current Employer's Name
Dates:
month and year
Address
Address City State ZIP Code
Phone
Supervisor (Name and Title)
Your Title:
Duties and Responsibilities:
Reason for leaving:
Former Employer 1
Former Employer's Name
Dates:
month and year
Address City State ZIP Code
Supervisor (Name and Title)
Your Title:
Duties and Responsibilities:
Reason for leaving:
Former Employer 2
Former Employer's Name
Dates:
month and year
Address City State ZIP Code
Supervisor (Name and Title)
Your Title:
Duties and Responsibilities:
Reason for leaving:
Former Employer 3
Former Employer's Name
Dates:
month and year
Address City State ZIP Code
Supervisor (Name and Title)
Your Title:
Duties and Responsibilities:
Reason for leaving:
If Yes, State, #:, and Exp. Date
Professional/Work References:
Please include at least 2 professional references
Name - 1
First Last
Address City State ZIP Code
Phone
Name - 2
First Last
Address City State ZIP Code
Phone
Name - 3
First Last
Address City State ZIP Code
Phone
Additional Information
Please provide any additional information or comments that may be relevant for the position.
How did you learn about this job posting
- Facebook
- CMH website
- Online Job Posting
- Newspaper
Please wait for the confirmation message after submitting your application before leaving the page.

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GCCMH Contact

103 West US Hwy 2
Wakefield, Michigan 49968
Admin – (906) 229-6100
OP Services – (906) 229-6120
Access – 833-906-5437

Recipient Rights

If you suspect or are aware of the abuse, neglect or exploitation of a recipient of public mental health services in Michigan, use the following links to assist you in reporting the information.

GCCMH Recipient Rights

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Gogebic Community Mental Health & NorthCare Network asks that you please take the time to complete our Survey so we can improve our services and better help you and our community!

https://forms.oﬃce.com/r/aE7sDR8GtL - Click here to take the survey!

Michigan Office of Recipient Rights

NorthCare Links

Hiawatha Behavioral Health
Copper Country CMH
NorthCare Network
Northpointe
Pathways Community Mental Health

Northcare Clinical Practice Guidelines

OTHER LINKS
Veterans Affairs Agency
CARF International
CMHAM
National Association for Rural Mental Health
Healthy Michigan

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2026 Mental Health Awareness Month
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Community Mental Health Authority is accepting applications for Board Members

103 W. US Highway 2, Wakefield, MI 49968

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