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City of Rocky Ford Application for Employment
The City of Rocky Ford is an Equal Opportunity Employer that complies 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.  Applicants requiring reasonable accommodation to the application and/or interview process should notify the department head supervisor or the human resource department Shelly Valdez at 719-254-7414, or svaldez@rockyford-co.gov.  All applications will go to the human resource department for further processing to correlating departments with positions available.
Email *
Last Name *
First Name and Middle Initial *
Address *
Telephone Number *
Job Applying for: *
Have you worked previously for the City of Rocky Ford? *
Do you have any relatives that work for the City of Rocky Ford? *
Can you work Full time or Part time? *
If Part time are you flexible in your hours?
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Can you work overtime? *
Are you willing to work weekends and holidays? *
Are you legally entitled to work in the United States?(All applicants who receive job offers must complete I-9 Employment Eligibility Form and provide identification to verify they may work in the U.S.) *
Do you have a valid driver's license?  What is your driver's license number, type of license, and state licensed in? *
Has your driver's license ever been surrendered, denied, suspended, revoked, restricted, or placed on probation? *
What is your highest level of education attained: *
If you have any training relevant to the job you are applying for, please provide training certification titles here(be prepared to provide supporting documentation to support information provided): *
Have you read job description and can perform all the parts of the job you have applied for? *
Please provide employment history here starting with the most recent employment.  Please provide Employer Name, Address, Telephone Number, Work Performed, whether still employed, were you terminated, starting and ending salary, and Supervisor Name: *
May we contact your current employer if currently employed?
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When would be the best day and time to setup an interview if chosen for one? *
Do you agree that this is not a contract for employment between the City of Rocky Ford and you, and acknowledge this is only an application and not a contract for an open job opportunity with the City of Rocky Ford? *
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