Our Programs Our Staff

2309 C Street SW
Cedar Rapids, Iowa 52404
319-365-9164
FAX: 319-365-6411
Last Name
First Name
Position(s) applying for
Date
Tanager Place is a private, nonprofit child and family service agency. Our mission is “to successfully serve children and families
challenged by social and psychological needs”. Since 1879, Tanager Place has been helping children and families in need. Today, we
serve over 700 children and families on a daily basis. We are dedicated to providing quality programs and we are committed to helping
people in need.
Tanager Place is licensed by the Iowa Department of Human Services and accredited by the Council on Accreditation for Children and
Family Services (COA).
Our Programs
Tanager Place provides a variety of programs designed to meet different needs. Some of them are listed below.
Tanager Place Treatment Center provides inpatient, psychiatric treatment for youth ages 5 to 17 who are seriously emotionally disturbed.
There are 60 children living in our PMIC program (Psychiatric Medical Institute for Children) which provides multi-disciplinary treatment for
children experiencing social, psychological, and/or emotional needs. The majority of these children have experienced some type of abuse –
emotional, psychological, sexual or physical. This program focuses on symptom reduction, internal controls and discharge planning to a
less restrictive level of care.
As a part of the Tanager Place Treatment Center, the Intermediate Care Facility For Intellectual Disability (ICF/ID) is an eight-bed, coeducational program developed for children, ages 5-17, who are mild to moderately mentally retarded and who experience psychiatric and
behavioral deficits. The program’s ultimate goal is to aid in the development of each client’s ability to function as independently and with as
much self-determination as possible.
Community Based Services offer a variety of services to address the safety and well-being of children. These services are generally
provided in the family’s home and all services are individualized and based on child and family needs. These services include the following:

Behavioral Health Intervention Services are provided in the family’s home and are designed to reduce or eliminate behaviors
and symptoms associated with a child’s psychological needs.

Safety Plan Services are designed to provide interventions and support to a child and family to help assure the child’s safety
during the Department of Human Services assessment process.

Family Safety, Risk and Permanency Services provide a wide variety of interventions and support to children and their families
referred by the Department of Human Services. The goal of this program is to help a child establish permanency either safely in
their home or in an alternative placement.
Expressive Arts
The Expressive Arts Program services as a means by which emotionally disturbed children may provide insight into struggles that might
otherwise take months to verbalize. Children express their conflicts and solve problems through symbolic expression using arts including
music, graphic arts, and creative writing. This program is available for children in Tanager Place programs who have a willingness to
explore art media as a means to learn the art of imagination.
Tanager Place Mental Health Clinic – Psychiatry – Psychology – Counseling. Tanager Place Clinic provides comprehensive mental
health services to the community. Services include:
 Child/Adult Psychiatry
 Psychological Testing and Assessment
 Individual Therapy, Family Therapy, Play Therapy
 Couple/Marriage Therapy
 Substance Abuse Counseling
Camp Tanager offers a summer camp experience for over 600 children ages 7-12 and strives to meet the special needs of children who
are experiencing social, economic or medical problems. The Diabetes Camp and Hemophilia Camp are special week-long medical camps
held annually. Camp Tanager is funded entirely through donations.
Our Staff
Tanager Place employs approximately 200 full-time and part-time employees. Positions include: Various Community Based positions and
Supervisors, Cooks, Housekeeping and Maintenance Personnel, Nurses, Program Therapists, Program Supervisors, Secretaries,
Treatment Counselors, Health Counselors, Youth Service Workers, and Clinic Therapists.
EQUAL OPPORTUNITY EMPLOYER
EMPLOYMENT APPLICATION
(Please fill out completely)
Date: _______/_______/_______
PLEASE PRINT
Name:
LAST
FIRST
MIDDLE
Present Address:
Phone #:(
)
Permanent Address:
Phone #:(
)
Position(s) Appling for:
Type of Employment Desired (please circle):
Full Time
Part Time
Date Available to Start:
Seasonal
Other:
Salary Required:
Have you previously worked at Tanager as an employee or volunteer?
Yes
No
Have you applied here before?
Yes
No
If yes, when?
Are you 18 years of age or older
Yes
No
If yes, When?
Do you have a record of founded child or dependent adult abuse in this state or any other state?
Yes
No
Have you ever been convicted, plead guilty to, or received a deferred sentence for a crime (misdemeanor
or felony) in this state or any other state (This includes and is not limited to assault, OWI, DWI, etc.)? Yes
No
Have you ever been excluded from participation in a Federal Health Care Program such as Medicare
or Medicaid?
Yes
No
If yes to any of the above, please explain all:
(A conviction may bear on the hiring decision, but is not automatic grounds for rejection of the application. Circumstances, as they relate to the job, will be
considered.)
Tanager Place is a 24 hour facility. Scheduling may include evenings. Please indicate hours that would be a
conflict for scheduling and explain why below:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
Please indicate any potential scheduling conflicts (exclude scheduling conflicts which would indicate race, religion, age, or
other protected status).
Abilities you possess that would make you an asset to this agency:
1.
2.
3.
EDUCATION: (Must be completed in full)
School
Name and Location
Major Course
Studies
# of Years
Completed
Degree
Received
Degree Major
High School
College
Other
EMPLOYMENT HISTORY: (most recent first)
(Must be completed in full or application may not be processed)
Employer:
Address:
Position:
Employed From:
/
/
# of Hrs Worked per Week:
Salary:
Reason for Leaving:
Phone Number:
Supervisor’s Name:
May We Contact for a Reference?
Yes
No
To:
/
/
To:
/
/
To:
/
/
To:
/
/
Job duties:
If no, please explain:
Employer:
Address:
Position:
Employed From:
/
/
# of Hrs Worked per Week:
Salary:
Reason for Leaving:
Phone Number:
Supervisor’s Name:
May We Contact for a Reference?
Yes
No
Job duties:
If no, please explain:
Employer:
Address:
Position:
Employed From:
/
/
# of Hrs Worked per Week:
Salary:
Reason for Leaving:
Phone Number:
Supervisor’s Name:
May We Contact for a Reference?
Yes
No
Job duties:
If no, please explain:
Employer:
Address:
Position:
Employed From:
/
/
# of Hrs Worked per Week:
Salary:
Reason for Leaving:
Phone Number:
Supervisor’s Name:
May We Contact for a Reference?
Yes
No
Job duties:
If no, please explain:
Work related organizations and activities. (Exclude those which would reveal race, religion, gender, origin, age, disability,
or other protected status.)
REFERENCES: (Must be completed in full or application may not be processed).
List 3 persons not related to you whom you have known at least one year:
Name
Address
Phone Number
1.
Occupation:
Years Known:
Occupation:
Years Known:
Occupation:
Years Known:
2.
3.
Specific skills:
Bi/multilingual? Yes
No
If yes, what other languages?
Computer Skills:
Typing Speed:
wpm
Other skills, licenses or certifications:
List any additional information appropriate for consideration:
PLEASE READ AND SIGN:
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of
facts may be cause for dismissal. Further, I understand and agree that if employed, my employment is for no contractual
period and may be terminated in compliance with Iowa Employment At Will and the established personnel policies of this
agency. I also understand that employment is contingent upon a satisfactory completion of background record checks i.e.,
Department of Criminal Investigation, Department of Motor Vehicles, Child Abuse Registry, Sex Offender Registry, etc.. (IA
Code 237.8)
The Agency does not discriminate based on age, race, color, national origin, creed, religion, sex, sexual orientation,
pregnancy, military service, physical or mental disability, or other protected classification. Any grievances or concerns
regarding application for employment may be made in writing to Human Resources.
I certify that I have read and understand the above information and the information I have provided is true, correct, and
complete.
Signature:
Date:
If you are applying/printing online please note: If you are chosen to interview you will be asked to review this
application for correctness and you will be required to sign at that time indicating the information presented is true
and correct.
This application will be maintained in an active file for a period of three (3) months from the date of application.