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

Address (Street Address/P.O. Box)
Address (Street Address/P.O. Box)
City
State/Province
Zip/Postal
Are you over 21 years of age?
Do you have a valid Drivers License?
Are you a US citizen and approved to work in the United States?
Is a relative currently employed by, or a Board Member of Southwest Counseling Service?