Application Name:

_______________________________

Position Applied For:

_______________________________

Date: __________________________

Received
by: ____________________________

Quality of Life is our Commitment

Application for Employment
  Read the job announcement before you complete the application.
  Type or print clearly in dark ink.
  Complete all blanks; enter N/A if question does not apply.
  Make sure to include all experiance and training which might qualify you for the position for which you are applying.
  Attach resume as supplemental information if you wish.
  If you need more space for an answer, use an 8 1/2" x 11" size sheet of paper. Write your name and position title in the upper left hand corner of the attachment.
  If you do not answer all questions fully and correctly, you may delay the review of your applications and lose job opportunities.

 

 

 

 

 

 

 

 

 

 






Application for Employment

We consider applications for all postions without regard to race, color, religion, creed, gender, national orgin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.


INSTRUCTIONS

Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered. Use blank paper if you do not have enough room on this application. Except for the signature at the end of application. You may also attach a resume' and cover letter if you desire.
PLEASE PRINT


Name: _____________________________ Telephone Number: ____________________________

Address: __________________________ City:________________________ State: ____________

Zip Code: _____________ E-mail: __________________________________

Position(s) Applied for                                                                    Date of Application
_______________________________________________________________________________________

How did you learn about us?
Advertisement                    Friend                   Walk In               Employment Agency
Relative                             Other____________________________________________


If you are under 18 years of age, can you provide required proof
of your eligibility to work? 
Yes No
For Sworn Police postitions only: Are you 21? Yes No
Have you ever been employed or educated under another name?

If yes, please state name(s) ______________________________________

Yes No
Have you ever filed an application for employment or been
employed here before?
If yes, please state date(s) _________________________

Yes No
May we contact your current employer? Yes No
Have you been convicted of a felony within the last 7 years?
Conviction will not necessarily disqualify an application from employment.

Yes No
If yes, please explain:_________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
   
     

 

 



EDUCATION

School Name & Location of School Course of Study Years of Study Degree
Graduate


       
College


       
Business/Trade/
Technical



       
High School


       
Other 


       

TRAINING

If you have completed any other courses or training related to the job posting, please indicate below.
Month/Year
Training
Completed
Total Classroom Hours Course Title Name/Location of
School/Training
Facility
(City/State)
Certificate/Diploma
(if any)

 

 

       

 

 

       

 

 

       

MILITARY AND VETERANS INFORMATION

Military Service Veterans Preference
(dates and branch of all active service): If preference eligible you must attach a copy of your DD214 and SF-15

 

 

 

 

Describe any job-related training received in the United States Military.___________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________


WORK EXPERIENCE

This is a very important part of the application. Neglecting to provide all the information requested could cause you to be disqualified for the position. The application form asks you to describe duties, responsibilities and accomplishments. Duties are what you do for your employer. Responsibilities involve some independent thought and judgment on your part.
Accomplishments are what you have done that are above and beyond what is normally expected of you.
Describe your current or most recent position in the first box and work backwards, describing each position you have held. (List all part-time employment information.) If you need additional space, please continue on a separate sheet of paper. A resume may also be attached in addition to providing the information requested below.
Employer
___________________________________________
Telephone
(____)____________________
Address
___________________________________________
Employed - Month & Year
From_________________ To __________________
Name of Supervisor
___________________________________________
Weekly pay
Start _________________ Last ________________
Job Title & Describe Your Work
___________________________________________

___________________________________________
Reason for Leaving
___________________________________________

___________________________________________
Employer
___________________________________________
Telephone
(____)____________________
Address
___________________________________________
Employed - Month & Year
From_________________ To __________________
Name of Supervisor
___________________________________________
Weekly pay
Start _________________ Last ________________
Job Title & Describe Your Work
___________________________________________

___________________________________________
Reason for Leaving
___________________________________________

___________________________________________
Employer
___________________________________________
Telephone
(____)____________________
Address
___________________________________________
Employed - Month & Year
From_________________ To __________________
Name of Supervisor
___________________________________________
Weekly pay
Start _________________ Last ________________
Job Title & Describe Your Work
___________________________________________

___________________________________________
Reason for Leaving
___________________________________________

___________________________________________
Employer
___________________________________________
Telephone
(____)____________________
Address
___________________________________________
Employed - Month & Year
From_________________ To __________________
Name of Supervisor
___________________________________________
Weekly pay
Start _________________ Last ________________
Job Title & Describe Your Work
___________________________________________

___________________________________________
Reason for Leaving
___________________________________________

___________________________________________
We May contact the employers listed above unless you indicate those you do not want us to contact.
DO NOT CONTACT _______________________________________________________________________
Reason : __________________________________________________________________________________

 

REFERENCE

List three to five people not related to you, who have known you for at least one year and who know your qualifications and fitness for the job for which you are applying. Do not list supervisors you listed in the Work Experiance area.
Full Name of Reference Present Business or Home Address-(Number, Street, City,Zip Code) Telephone Number(s) (Include Area Code)

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

APPLICANT'S STATEMENT
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 30 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 or without cause. It is further understood that this "all will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledge 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 and does not grant me any right of continued employment and does not establish or create a contract of employment, either express or implied, between the City of Montose and me.
                          ____________________
Signature
______________
Date Signed


 

 

 

Authorization to Work in the United States:

On November 5, 1986, the Immigration Reform and Control Act was signed into law making employment of unauthorized aliens unlawful. The Act requires every employer to examine and verify certain documents that establish the employment eligibility of all employees hired after November 6, 1986. For each employee hired after this date, the City must keep on file a form confirming that the City examined appropriate documents for each new employee. If you are selected for the position for which you applied, you must provide the appropriate documents to the Personnel Department before you can be hired. Please be prepared to bring with you the following Document(s):

 

One document of the following establishing both identify and employment authorization:
     a. U.S. Passport or
     b. Certificate of U.S. Citizenship or Naturalization or
     c. Alien Registration Card (a.k.a. "Green Card") or

     e. Unexpired Foreign Passport with Valid Work Authorization.

 

OR
One document of the following establishing identity:
     a. Drivers License or
     b. State-issued ID Card with photograph or
     c. School ID Card with photograph
AND

One document of the following establishing employment authorization:
     a. Social Security Card or
     b. U.S. Birth Certificate (issued by state or county entity; certificates issued by hospital are not          acceptable.)

 

COMPLETED APPLICATIONS AND ALL ATTACHMENTS MUST BE RECEIVED IN THE HUMAN RESOURCE DEPARTMENT BY THE DEADLINE INDICATED ON THE JOB ANNOUNCEMENT. APPLICATIONS RECEIVED AFTER THE DEADLINE WILL NOT BE CONSIDERED.

 

Return by mail to:
Hand deliver to:
City of Montrose
Human Resource Department
P.O. Box 790
Montrose, Colorado 81401-0790
City of Montrose
433 South 1st Street
Montrose, Colorado