Personal informations


Application for Employment

Instructions:

  • Answer every question completely and accurately.
  • Please include "NOT APPLICABLE" if question is not answered intentionally.
  • If you need assistance filling out this application or any phase of the employment process, please call the office at 970-566-1377

Availability (please check all that apply)


Reasonable efforts will be made to accommodate sincerely held moral and ethical beliefs, as well as religious practices.


General


We do not discriminate on the basis of race, religion, national origin, color, age, sex, veteran status or disability. It is our intention that all applicants be given equal opportunity and that selection decisions be based on job-related factors.


Work History

Instructions:

1. Since we plan to contact previous employers, it is important that you provide correct telephone numbers.


2.Please be sure to account for all periods of time including military service and any periods of unemployment.

3. If self-employed, give firm name and supply business references.


Most Recent Employer


Second Most Recent Employer


Third Most Recent Employer


Fourth Most Recent Employer


Security

List state and counties of residence for the past seven years


Education


High School

If your school records are under another name than listed on page one, please list other name(s)


College


University


Military


Other


Additional Training


References

Instructions:

  1.  List only individuals familiar with your work ability or related education.

  2.  Do not include relatives.

  3.  Do not include former employers.


Affidavit

Instructions:
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 understand that the employer may request an investigative consumer report from a consumer reporting agency. This report may include information as to my character, reputation, personal characteristics and mode of living obtained from interviews with neighbors, friends, former employers, schools and others. I understand that I have the right to make a written request within a reasonable time for disclosure of the nature and scope of the investigation.

I authorize the investigation of any or all statements contained in this application and 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 for making such statements.

I understand that if I am extended an offer of employment, it may be conditional upon my successfully passing a complete or partial pre-employment screening process that may include; a drug screen, criminal history screen, credit history screen and / or education confirmation. I consent to the release of any or all records 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 DEFINATE PERIOD OF TIME. ONLY THE PRESIDENT OF THE COMPANY 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.

I have read and understand, and by my signature consent to these statements.