Go

Contact Us

Phone: (719) 884-6100

Email:

Mailing Address: 219 E Bijou St, Colorado Springs, CO 80903

About Us  |  Calendar

 

Livestream Help 

If you have issues with the broadcast, contact our provider at 1-877-664-6137 for support.

 

Employment Application

10.18.16 | Open Positions | by James Tandy

    Employment Application

    Address*

    ,  

    ( )   -

    ( )   -

    Are you 18 years of age or older?*

    Have you worked or applied here before?*

    Any suspensions or revocations of your Driver's License in the past seven years?

    Position Desired*

    Company Address

    ,  

    ( )   -

    May we contact your supervisor?

    Company Address

    ,  

    ( )   -

    May we contact your supervisor?

    Company Address

    ,  

    ( )   -

    May we contact your supervisor?

    Address*

    ,  

    ( )   -

    Address*

    ,  

    ( )   -

    Address*

    ,  

    ( )   -

    Has anyone ever accused you of physical abuse, sexual abuse, or sexual harassment?

    Have you ever been charged, arrested, or convicted of a felony or misdemeanor, regardless of the disposition of any such matter?*

    Has any employer ever counseled, reprimanded, disciplined, or terminated you or have you ever terminated your own employment for reasons related to physical or sexual abuse by you, sexual harassment by you or your unsafe driving record?

    My answers on this application and on my resume I provide are complete and true. I understand that the submission of any false or incomplete information in connection with my application, whether on this or other documents or interviews, will be cause for the rejection of my application or the termination of my employment at any time. I authorize the Employer and its agents to verify any information related to my application or resume. I also authorize and direct individuals, schools, employers, and any law enforcement or government officials to freely provide any information concerning my background, and hereby release any and all of them from any liability for doing so. If I am employed, I understand that I will be employed on an at-will basis for an indefinite period of time and that my employer may terminate my employment at any time and for any reason.