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Employment Application


It is the policy of Southwest Health and Human Services to provide equal employment opportunity for all, without discrimination on the basis of race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, disability, sexual orientation, or age.


The information requested on this application is intended to be used by Southwest Health and Human Services in determining suitability for employment for the position which you are currently seeking or may seek in the future. You are not legally required to provide any of the information on this form at this time. However, failure to provide complete, accurate information may result in Southwest Health and Human Services being unable or unwilling to offer employment to you.

With respect to any special accommodations necessary for completing your application or the interview process, Southwest Health and Human Services may be unable to provide the necessary accommodations if you do not provide the information in Section IV. The information on this application which is classified as private data under the Minnesota Government Data Practices Act will not be released outside Southwest Health and Human Services without your consent except as necessary for tax purposes or as otherwise required by state or federal law.


Fill out the form below to apply for a position at SWHHS. To confirm your application was received, you will receive a thank-you email. If you do not receive one, your application did not submit.

Step 1 of 7

  • MM slash DD slash YYYY
  • Position Desired

  • MM slash DD slash YYYY
  • Personal Information

  • Licensure

    List current licenses, registrations, or certificates relevant to the position for which you are applying.

    All applicable licenses or certifications must be received in the Personnel Office prior to employment commencing. If hired, you remain responsible for ensuring that all applicable licenses remain in effect.

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