Leo A. Hoffmann Center is an Equal Opportunity, Affirmative Action Employer.

Women, Minorities and Individuals with disabilities are encouraged to apply.

Online Application:

Name:
Address:
City: State: Zip:
Phone: Fax:
Email Address:
Position applying for:
Residential - Hoffmann Center
Outpatient - Hoffmann Counseling Services
Date available:

Employment History

Current Employer:
Job Description:
Start Date:

Previous Employer 1:
Job Description:
Start Date:
End Date:
Reason for leaving:

Previous Employer 2:
Job Description:
Start Date:
End Date:
Reason for leaving:

Previous Employer 3:
Job Description:
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End Date:
Reason for leaving:

Previous Employer 4:
Job Description:
Start Date:
End Date:
Reason for leaving:

Education

Highest Grade or Degree:
Date completed:
Location:
Courses of study:
Skills:
Certificates:
Other information that will aid us in evaluating your application:

References

Name:
Address:
Relationship:
Telephone:

Name:
Address:
Relationship:
Telephone:

Name:
Address:
Relationship:
Telephone:
You will also need to complete a Reference Request form for each reference authorizing LAHC to contact your references.
I certify that all of the statements by me in this application are true, complete and correct to the best of my knowledge and belief, and are made in good faith. I understand that any false information or omission of information from this application may be cause for rejection or dismissal, if employed.




Copyright © 2021 Leo A Hoffmann Center Inc.        1715 Sheppard Drive, PO Box 60 St. Peter, MN 56082        Telephone Number:507-934-6122
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