Pagosa Springs Employment Application Form

Employment Application Form:
Please read carefully. Complete this application electronically (if possible) and in full.

BeeHive Homes of Pagosa Springs

An Equal Opportunity Employer

We are an equal opportunity employer, and we do not and will not discriminate on the basis of race, color, religion, national origin, ancestry, sex, age, physical or mental handicap, serious medical condition, spousal affiliation, sexual orientation, gender identity, or status as a disabled veteran. Information provided on this application will not be used for any discriminatory purpose.
Personal Information:
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Are You a U.S. Citizen?

YesNo
Employment Desired:
Position Applying For
Date You Can Start

MonthDayYear
Wage Desired
Have You Worked at BeeHive Homes Before?

YesNo
Have You Applied with BeeHive Homes Before?

YesNo
Full Time or Part Time Employment?

Full TimePart Time
Preferred Shift
Education:
Select a Choice

Didn't Finish High SchoolHigh School Diploma or EquivalentSome College2 Year Degree4 Year Degree
Employment History:
Employer
Name of Current or Previous Employer
Position
Reference
Reference Phone Number
Start Date

MonthDayYear
End Date

MonthDayYear
Date
Previous Employer
Name of Previous Employer
Position
Reference
Reference Phone Number
Start Date

MonthDayYear
End Date

MonthDayYear
Previous Employer
Name of Previous Employer
Position
Reference
Reference Phone Number
Start Date

MonthDayYear
End Date

MonthDayYear
Resume (Optional):
Resume

Upload a File

Cancelof
Send Application:

I hereby certify that the answers and other information on this application are true and correct and that I understand any mis-representation or omission of facts on my part will be justification for separation from the company’s service, if employed. I understand that my employment may be contingent upon receipt of an alien registration number, verification of birth, and any other pertinent information bearing upon my employment, and that my continued employment depends upon the will of the company or myself. I understand that smoking, using or being under the influence of alcohol or drugs while on the job is prohibited.This application is not intended to and does not create a contract or offer of employment. If hired, employment with the company is an at-will basis and could be terminated at the will of either party. If you need to request reasonable accommodation to apply or participate in the interview process due to a disability or other accommodation, please notify the administrator of the facility.
Should be Empty: