City General Employment Application Form printable pdf download

City General Employment Application Form

CITY OF LA JUNTA

PO BOX 489

La Junta, CO 81050

719-384-5991

APPLICATION FOR EMPLOYMENT

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in

employment based on race, age, color, sex, religion, national origin, or other protected

classification. Equal access to programs, services and employment is available to all persons.

Those applicants requiring reasonable accommodation to the application and/or interview

process should notify a representative of the Personnel Department.

Name ____________________________________________________________

Address ___________________________________________________________

Telephone number ___________________ Other Phone number _____________

E-mail _____________________

Have you worked here before? _______

Are you legally eligible for employment in this country? _____________

Are you over 18 years old? ________

Are you willing to work overtime as required? ________

Are there any hours, shifts or days you cannot or will not work?

__________________________________________________________________

Employment desired: Full-Time _____ Part-Time _____ Seasonal ______

Have you ever been bonded? __________

Have you been convicted of a crime in the last 7 years? _____________ If yes,

please explain:

__________________________________________________________________

Conviction will not necessarily be a bar to employment. Each instance and explanation will be

considered in relation to the position for which you are applying.

Driver’s License Number _______________________________________

POSITION APPLIED FOR _____________________________________________________

City General Employment Application Form