Thank you for your interest in working with us. Please send your application by filling out the Job Application Form.

Employment Desired

Type of Work Desired

Will You Accept Employment of:

Education

Did you graduate
Did you graduate
Did you graduate

Professional Licenses and/ or Certifications

Military Record

Employment History

List current (or most recent) employer first and all others in reverse chronological order. Use space at the bottom to account for all time spent unemployed or in the U.S. Armed Forces.

May we contact for reference?
May we contact for reference?
May we contact for reference?

Reference

List three references who are not relatives or former employers

Availability Information

Will you accept another position
 YesNo

Please indicate Days and Hours You Are Available For Work (Be Specific)

Signature

I understand that emergency conditions may require me to temporarily work shifts other than the one for which I am applying and agree to such scheduling change as directed by my department head or administrator of this institution.

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312 East State Street Marion, SD 57043

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