Please list your three (3) most recent employment positions, starting with your current or most recent employer. You may include military service or volunteer work if relevant to the position.

Please list three (3) professional references who are familiar with your performance, skills, and qualifications. Do not list relatives, personal friends, or individuals who cannot speak to your professional background.

Please read the following statements carefully before signing below. • Certification of Truthfulness: I certify that all answers and information provided in this employment application (and any accompanying resume or documentation) are true, correct, and complete to the best of my knowledge. I understand that any false, misleading, or omitted information may result in the rejection of my application or immediate termination of employment if discovered at a later date. • Reference and Documentation Verification: I authorize the Prowers County Department of Human Services to investigate all statements contained in this application and to contact my listed professional references and past employers to verify my qualifications. • Employment-at-Will Doctrine: I understand and acknowledge that, unless otherwise defined by an explicit written contact approver by the Prowers County Board of County Commissioners, any employment relationship with the Prowers County Department of Human Services is “at-will”. This means that the employee may resign at any time, and the county may terminate the employment relationship at any time, with or without cause or prior notice. • Documentation Redaction Rights: In compliance with the Colorado Job Application Fairness Act (JAFA), I acknowledge that I am not required to disclose my age, date or birth, or graduation dates on this initial application. If I have chosen to attach transcripts or certifications, I recognize my legal right to redact (black out) age-identifying information.