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Divine HealthCare Network
856 W. University Avenue
St. Paul, MN 55104-4807

Tel: (651) 665-9795
Fax: (651) 665-9796
 
Online Employment Apps
Personal Information
First Name
Last Name
Middle Initial
If you have worked in any of your previous positions or obtained any of your experience under any other name, give that name:
Alternate Name
Street Address
City
State
Zipcode
Home Phone
Work Phone
Cell Phone/Pager
Best Time to Reach You Mornings
Afternoons
Evenings
Anytime
Email Address
Do you drive? Yes
No
Do you own a vehicle? Yes
No
Position Applying For
Education Information
Do you have a High School Diploma or GED? Yes
No
High School or GED Program/City:
Do you have education or training after High School? Yes
No
If yes, please enter the school(s) you have attended, number of years enrolled, degrees/certificates received, and primary area of study.
School Name
Years Enrolled
Degrees/Certificates Recieved
Primary Area of Study
 
School Name
Years Enrolled
Degrees/Certificates Recieved
Primary Area of Study
 
Do you have professional licenses or certifications and/or registrations Yes
No
If yes, please list all Licenses/Certificate Registration #, Type and State of issue
Work History Information
Please start with the present or most recent employer.
Company #1 Name
Employer/Supervisor Name
Supervisor Title
Street Address
City
State
Zipcode
Employer Phone Number
Start Date (MM/YY)
End Date (MM/YY)
Job Title
Average # of hours worked per week
Duties
Reason for Leaving
May we contact this employer? Yes
No
 
Company #2 Name
Employer/Supervisor Name
Supervisor Title
Street Address
City
State
Zipcode
Employer Phone Number
Start Date (MM/YY)
End Date (MM/YY)
Job Title
Average # of hours worked per week
Duties
Reason for Leaving
May we contact this employer? Yes
No
 
Company #3 Name
Employer/Supervisor Name
Supervisor Title
Street Address
City
State
Zipcode
Employer Phone Number
Start Date (MM/YY)
End Date (MM/YY)
Job Title
Average # of hours worked per week
Duties
Reason for Leaving
May we contact this employer? Yes
No
 
Company #4 Name
Employer/Supervisor Name
Supervisor Title
Street Address
City
State
Zipcode
Employer Phone Number
Start Date (MM/YY)
End Date (MM/YY)
Job Title
Average # of hours worked per week
Duties
Reason for Leaving
May we contact this employer? Yes
No
 
Skills Information
From the following list, please check those skills for which you consider yourself to be proficient and which you are willing to use on the job Flexibility
Dependability
Documentation
Handling sensitive information
Organizational skills
Written Communication
Know understand and respect cultural diversity
Enter any other skills, foreign languages, educational courses or workshops which may be relevant to your application (For Nurses, please list specialty training such as CPR, BLS,etc.)
Related Questions
Which of the following Days and Hours are you willing to work?
Days Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Mornings (AM) Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Afternoons (PM) Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Desired Locations
Desired Hours
Have you ever been employed by DHCN before? Yes
No
Do you have a relative currently working for DHCN? Yes
No
If yes, please list their name
How did you hear about Divine Healthcare?
Have you ever been convicted of a crime? Yes
No
(Conviction of a crime is not an automatic disqualification to employment)
If yes, give the date, charge, city and state, county, type of conviction, sentence or fine
Are you a U.S. citizen, or can you provide evidence of your legal right to work in the U.S.? Yes
No
Are you 18 years of age or older? Yes
No
On what date are you available to start work?
Application Documents
For job announcements with instructions to submit a cover letter, resume, and/or relevant transcript, please attach digital versions (in word document or PDF) of your application documents below:
Cover Letter
Resume
Transcript
 
To complete the application process, submit the form by clicking "Apply Now."