Applicant Information

Name
Address
Are you a US Citizen?
If no, are you authorized to work in the US?
Have you ever worked for a CSC network partner?
MM slash DD slash YYYY

Education

Did you graduate?
Address
Did you graduate?
Address

References

Name
Address
Name
Address
Name
Address

Previous Employment

Employer #1

Address
May we contact your previous supervisor?

Employer #2

Address
May we contact your previous supervisor?

Employer #2

Address
May we contact your previous supervisor?
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Disclaimer(Required)

Equal Opportunity Statement

CSC Southwest Colorado is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, age, color, gender, religion, marital status, sexual orientation, national origin, disability, genetic information, pregnancy, military status, or any other protected characteristic as outlined by federal, state, or local laws. No application will be rejected because of a disability that, with reasonable accommodation, does not prevent performance of the essential job duties.  CSC Southwest Colorado makes hiring decisions based solely on qualifications, merit, and business needs at the time.

Diversity and Inclusion Statement

Cancer Support Community Southwest Colorado is committed to diversity, equity, and inclusion in every aspect of our organization.

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