Prowers County Department of Human Services Application
Prowers County is an equal opportunity employer and will consider all applicants for all positions without regard to race, color, religion, creed, gender or sex, national origin, age, disability, martial or veteran status, sexual orientation, political affiliation, or any other legally protected status . The Prowers County Department of Human Services is located at 1001 South Main Street, Lamar, CO 81052, and may be reached at (719)336-7486.
Name
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First Name
Middle Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
Phone Number
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To which open position you are applying for at DHS?
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EXACTLY AS STATED ON THE ANNOUNCEMENT
Indicate languages in addition to English you speak fluently.
Available Start Date
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Month
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Day
Year
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Employment Eligibility Questions
Are you able to complete an I-9 form verifying your employment eligibility?
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Yes
No
Are you prevented from lawfully becoming employed in the United States because of visa or immigration status?
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Yes
No
Have you ever been employed by Prowers County before?
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Yes
No
Are you able to travel if the job requires it?
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Yes
No
Are you capable of performing, with or without reasonable accommodation, the duties and activities involved in the job description as found on the Prowers County website? (If you have not received or reviewed a job description before completing this application, please request one from the Department of Human Services.)
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Yes
No
Driver's License Info
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Please be aware that a criminal background check may be required for employment, which is allowable under CRS 8-2-130(4).
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Education
What is your highest level of education completed?
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Please Select
None
High School or GED
Some Undergraduate studies
Undergraduate degree
Some Graduate Studies
Graduate degree
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Employment Experiences
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References
Please list three work-related references, i.e. coworkers, clients or professionals you have worked with:
Name, Title
Phone
Type of Business Relationship
Name, Title
Phone
Type of Business Relationship
Name, Title
Phone
Type of Business Relationship
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Please upload Resume if available.
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APPLICANT STATEMENT
By clicking "Submit", I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable by law, any employment relationship with this organization is of an "at will" nature, which means that an employee may resign at any time and an employer may discharge an employee at any time with or without cause. I further understand that this "at will" employment relationship may not be changed by any written documents or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the even of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand that I am required to abide by all the rules and regulations of the employer and laws of the State of Colorado.
Date
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Year
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