SOUTHWEST COUNSELING SERVICE

Application for Employment

Equal opportunity employer. Applications are considered for employment without regard to sex, marital status, race, color, religion, sexual orientation, creed, national origin, age, physical or mental disability.

Your application is a permanent part of your record. A pdf application is available here if you prefer a paper application.

Employment Application

Applicant Information
Employment Position
Education
Employment History
References & Licensure/Certification
Legal & Applicant Statement

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Applicant Information

Name *

Email *

Phone *

Address (Street Address/P.O. Box)

City

State/Province

Zip/Postal

How long have you been at your current address? Please list your 3 previous addresses?

Are you over 23 years of age?

Yes

Do you have a valid Drivers License?

Yes

Are you a US citizen and approved to work in the United States?

Yes

What document can you provide as proof of citizenship or legal status?

Is a relative currently employed by, or a Board Member of Southwest Counseling Service?

Yes

If yes, what is the relative's name?

If you are human, leave this field blank.

For appointments and more information, call (307) 352-6680 or (307) 352-6677. If you or someone you know is in a crisis, there are people to help. The Suicide & Crisis Lifeline is available 24/7. Call or text 988. If there is an emergency DIAL 911.

Mental Health Services

1124 College Drive
Rock Springs, WY 82901

Phone: (307) 352-6680
Fax: (307) 352-6676

Recovery & Billing Services

2300 Foothill Boulevard
Rock Springs, WY 82901

Phone: (307) 352-6677
Fax: (307) 352-6614

Medical & Psychosocial

2706 Ankeny Way
Rock Springs, WY 82901

Phone: (307) 352-6689
Fax: (307) 352-6692