Colorado Application Form for Employment

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                             This Application Form for Employment is intended to be used by employers located in
                             Colorado to gather vital and detailed information from job candidates. The form provides
                             for the candidates' contact information, employment history, references and prior
                             convictions. This document can be customized to elicit any additional information about the
                             candidates. It is useful for any employers that are going through the hiring process.
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                              APPLICATION FOR EMPLOYMENT


GENERAL INFORMATION


Full legal name:           _______________________________________________________
                              Last                           First                      Middle


Social Security Number:       ______________________________________________________


Address                :      ______________________________________________________
                              ______________________________________________________
                              ______________________________________________________


Telephone Number w/Area Code:                 __________________________________________


Position applied for          :       ________________________________________________


E-mail Address                :       ________________________________________________


EDUCATION QUALIFICATION
                                             Education
      School Name                 Location          Years            Degree     Major/Specialty
                                                  Attended           Received




WORK EXPERIENCE DETAILS
                                    Employment


Current Employment Record:


1. Present Employer _______________________ Job Title ____________________________
   Period Employed From ________________________ to ___________________________
   Address ______________________ City ______________ State __________ Zip ________
   Phone ____________________ Job Title _______________________
   Starting Salary _______________________ Ending Salary _________________________
   Duties Performed ____________________________________________________________
   Reason for Leaving __________________________________________________________


   Past employment record (In ascending order of Experience)
2. Previous Employer ______________________ Job Title ____________________________
   Period Employed From ________________________ to ___________________________
   Address ______________________ City ______________ State __________ Zip ________
   Phone ____________________ Job Title _______________________
   Starting Salary _______________________ Ending Salary _________________________
   Duties Performed ____________________________________________________________
   Reason for Leaving __________________________________________________________


3. Previous Employer ______________________ Job Title ____________________________
   Period Employed From ________________________ to ___________________________
   Address ______________________ City ______________ State __________ Zip ________
   Phone ____________________ Job Title _______________________
   Starting Salary _______________________ Ending Salary _________________________
   Duties Performed ____________________________________________________________
   Reason for Leaving __________________________________________________________


4. Previous Employer ______________________ Job Title ____________________________
   Period Employed From ________________________ to ___________________________
   Address ______________________ City ______________ State __________ Zip ________
   Phone ____________________ Job Title _______________________
   Starting Salary _______________________ Ending Salary _________________________
   Duties Performed ____________________________________________________________
   Reason for Leaving __________________________________________________________


REFERENCES
Please provide professional references only. Family members cannot be considered as a
reference.
        Name                   Phone No               Relationship          No of years know




ADDITIONAL INFORMATION
Have you ever been convicted of any criminal offense (including plea of guilty) other than minor traffic
violations?


If no, place your initials here. _______
If yes, please explain, including offenses for which convicted, dates and locations. (Convictions do not
automatically bar employment - nature, date, rehabilitation and relation with job sought will be
considered.)




ACKNOWLEDGMENT AND AUTHORIZATION


1. I certify that answers given herein are true and complete to the best of my knowledge.
2. I authorize investigation of all statements contained in this application for employment as may be
   necessary in arriving at an employment decision.
3. 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.


   _____ [Month] _____ [Date], 20____.


   _______________________________
         Signature of Applicant

								
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