Employment Application

We don't hire employees,
We select new members for our team.


This application is intended for use by Colorado West HealthCare System (CWHS). In compliance with Federal and State equal opportunity laws, applicants will not be unlawfully discriminated against based on race, color, religion, national origin, sex, veteran or military status, age, sexual orientation, disability or any other status protected by law or regulation. Provide only the information requested and complete all sections. Failure to do so may result in disqualification of your application.
Great People, Great Care, Great Choice


Please read:  This is a very extensive employment application. Even if you have all of your information at hand, it will take 20-30 minutes to complete. If you would like to start it now and return later to complete it, you may do so if you make a note of this personal login key:

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You may use this personal login key to return to your employment application at any time. All information that you previously entered will be present.

If you have a personal login key and would like to return to your employment application now, log in here:

Personal login key:      

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 Let's get started!

Date:  


Name:  
       

Other names used:  


Address:  


City:  
   State:     Zip: 

Home phone: 
       Work phone: 

Email: 

Position(s) desired:  
    Date available:  

                             

 How did you learn about this opening?
:  Which one? (please be specific) 
:  What site? 
:  What station? 

 Days, hours or shift requested: 

 List days of the week and hours of the day you are not available for work:


 Will you work over 40 hours per week if required?        

 Hourly pay rate desired:  

 Are you age 18 or older?                     If no, please provide date of birth:  

Education

  Name & Address of School Course of Study Last Year
Completed
Did you
Graduate?
Diploma / Degree
High School or GED

1  2  3  4
   
College (Undergrad)

1  2  3  4
   
College (Grad)

1  2  3  4
   
Medical Education

1  2  3  4
   
Other Specialized
Courses
1  2  3  4