Employment Application
We consider all applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veterans status, sexual orientation, or any other legally protected status. Submit the completed application to Prowers County Department of Human Services, located at 1001 South Main Street, Lamar CO. 81052 and may be reached at (719)336-7486.
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
What position are you applying for?
*
As listed on job post
Are you seeking part-time of full-time employment?
*
part-time
full-time
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Employment Eligibility Questions
Are you able to complete an I-9 form verifying your employment?
*
Yes
No
Are you prevented from lawfully becoming employed in the United States because or visa or immigration status?
*
Yes
No
Have you ever been employed by Prowers County before?
*
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.)
*
Yes
No
Have you ever been involved with a child abuse or neglect claim?
*
Yes
No
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
*
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Previous Employment
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Additional Information
Indicate any foreign languages you can speak, read and/or write
Describe your writing skills.
*
Describe your communication skills.
*
Summarize special job-related skills and qualifications acquired from employment and other experience including specialized skills.
*
WPM:
Computer Literacy? (Google Docs, Microsoft Office, etc.)
*
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING FOR. Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A description of the activities in such or occupation is attached.
Yes
No
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Professional References
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Please upload Resume if available.
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APPLICANT'S 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 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 out 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.
Date
*
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Month
-
Day
Year
Date
Submit
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