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Application for Employment
Step 1 of 2
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Date
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Date Format: MM slash DD slash YYYY
We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, genetic information or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.
Position Applying For
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Location Applying For?
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Northern Colorado
Colorado Springs
Name
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Address
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Are you 18 years of age or older? (if you are hired, you may be required to submit proof of age)
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Yes
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If hired, you will be required to furnish proof of your eligibility to work in the U.S.
On what date would you be available to start work?
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Date Format: MM slash DD slash YYYY
Are you available to work:
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Full Time
Part time
Have you been convicted of any law violations? Include any plea of "guilty" or "no contest".
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Yes
No
(exclude minor traffic violations) Conviction will not necessarily disqualify an applicant from employment.
If Yes, please explain:
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For Driving Jobs Only: Do you have a valid driver's license?
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Yes
No
Drivers License Number
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Class of License
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State Licensed In
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Please upload your cover letter and resume
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Drop files here or
Accepted file types: jpg, pdf, gif, png.
Please upload your cover letter and resume in PDF. You can add multiple files.
Please upload references
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Accepted file types: pdf, jpg, png, gif.
Please upload a PDF file with references or letters of recommendations.
We are an Equal Opportunity Employer
List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status:
Additional Information
Other Qualifications
Summarize special job related skills and qualifications acquired from employment or other experience:
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statement contained in this application for employment as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.
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I have read, understand, and by my signature consent to these statements.
Signature
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Date
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Date Format: MM slash DD slash YYYY
Are you willing to submit to a background check and drug test?
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Yes
No
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