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Home Page
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Career Center
> | Employee Application Form
Employee Application Form
First Name (First, Last): *
Date: *
Position(s) Applied For: *
City, State: *
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Phone Number: *
Cell Number: *
E-Mail: *
Do you prefer full-time or part-time employment?:
How many hours a week do you prefer to work?:
Date you can start:
Are you willing to work overtime?:
Yes
No
Salary Desired:
Please indicate shifts you are available to work:
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Mornings
Afternoons
Evenings
Overnight
How did you hear about us?:
Employee Referral
Daily Camera
St Julien Website
Hcareers
CU Career Center
Craigslist
Denver Post
Walk-in
Online Search
Workforce Center
Hot Jobs
Other
If you were referred by an employee, please indicate who:
Are you legally authorized to work in the United States?:
Yes
No
Are you 18 years of age or older?:
Yes
No
Have you ever been employed by St Julien before?:
Yes
No
If yes, when?:
Please attach your Resume:
(only .doc and .pdf files allowed)
Education
Name,City,State of School
Type of Degree
GPA
High School/GED
College
Technical/Additional Training
Licenses/Certificates
High School Diploma Received?:
Yes
No
Have you ever been dismissed from a job or forced to retire:
Yes
No
If yes, please explain:
How many days have you missed from work during the past year?:
Have you been convicted of a felony in the last 7 years?:
Yes
No
If yes, please explain:
For Driving Jobs ONLY: Do you currently have a valid drivers license:
Yes
No
Previous Work History
Applicants stating "see resume" will not be considered
Position Title:
Employer Name:
City:
State:
Phone Number:
Position Duties:
Employment Start Date:
Employment End Date:
Currently Working:
Supervisor Name and Title:
Starting Pay:
Ending Pay:
Reason for Leaving:
Position Title:
Employer Name:
City:
State:
Phone Number:
Position Duties:
Employment Start Date:
Employment End Date:
Currently Working:
Supervisor Name & Title:
Starting Pay:
Ending Pay:
Reason for Leaving:
Position Title:
Employer Name:
City:
State:
Phone Number:
Position Duties:
Employment Start Date:
Employment End Date:
Currently Working:
Supervisor Name & Title:
Starting Pay:
Ending Pay:
Reason for Leaving:
Can we contact your former employers?:
Yes
No
Do you have any skills or additional training relating to the job you are applying for?:
If hired, I agree to abide by all of the Company's rules and regulations and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, either at my option or the option of the Company. I further understand that no representation, whether oral or written, by any representative or agent of the Company, at any time, can constitute a contract of employment. I understand that the Company and all plan administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms or conditions of employment. No representative or agent of the Company has the authority to enter into any agreement for employment for any special period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the St Julien or to make any agreement contrary to the foregoing.
I have read and understand the questions asked in this application. I certify that all answers given by me are true, accurate and complete and understand that the omission and/or misrepresentation of any fact from this application or during any interview will be cause for immediate dismissal. I hereby authorize the Company to obtain reference information about me and release all persons from liability for doing so.
I agree to the above and submit my application:*
Please enter your name in the field below to "electronically" sign the application. *
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