Fire Hydrant and Groundskeeper Application Personal Information Please complete the following application for the Fire Hydrant/Groundskeeper Position. First Name (required) Middle Initial Last Name (required) Street Address (required) City (required) State (required) Zip (required) Phone Number (required) Email Address (required) If you are related to any of our employees, please state the name of the employee and the employee's position, if known. Are you lawfully authorized to work in the United States? (required) Yes No Are you at least 18 years of age? (required) Yes No Desired Wage How did you hear about this opening? (required) Indeed Facebook LinkedIn Clifton Water District Website Handshake Connecting Colorado Current Employee Customer/Friend Other Work Availability When will you be available for work (please indicate your first and last day available to work, if known)? (required) Do you have any commitments that will require you to be absent from work during regular work hours for more than three consecutive days from May through August? (required) Yes No If "YES" please explain Why are you interested in seasonal employment? (required) Employment History List chronologically your last 2 employers. Current or Most Recent Employer Company Name (required) Company Address (City and State) (required) Phone # (required) Start Date (Mo/Yr) to End Date (Mo/Yr) (required) Position (required) Duties (required) Reason for Leaving (required) Can we talk to your current employer now, or only if you are hired? (required) Yes Only if Hired Employer #2 Company Name Company Address (City and State) Start Date (Mo/Yr) to End Date (Mo/Yr) Position Duties Reason for Leaving Can we contact this employer? Yes No Job Requirements Have you ever been employed by us before? (required) Yes No If "YES" please state the positions held, period of employment and reason for leaving. Do you meet the experience qualifications of the position? (required) Yes No If "NO" what qualifications do you lack? I have reviewed the essential job functions and state that I can perform these functions with or without reasonable accommodation. (required) Yes No Have you ever been fired from a job or quit under threat of being fired? (required) Yes No If "YES" when and who was the employer? What reason did the employer give you for your dismissal or forced resignation? Illegal Drugs Within the past 60 days, have you used marijuana, cocaine, any narcotics, amphetamines, barbiturates, or other controlled substances that were not taken as prescribed to you by a physician? Yes No PLEASE READ THE FOLLOWING PARAGRAPH BEFORE SIGNING THIS APPLICATION I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation of information by statement or omission will result in disqualification or, if already hired, dismissal from employment, no matter when the misrepresentation is discovered. I authorize Employer to contact my references, investigate my employment history, education, criminal record, and if applicable, driving record, and to obtain a consumer report regarding me. I agree to assist Employer in obtaining background information on me by signing any authorization/release forms necessary to obtain such information. I will submit to and pass any drug test required by Employer as a condition of employment. All employment with Employer is at-will, meaning that employment with Employer may be terminated, with or without cause, and with or without prior notice, at any time, at the option of either me or the Employer. I understand that no supervisor or manager has the authority to enter into an agreement for employment that waives Employer’s right to terminate employment at will. I understand that Employer has policies and procedures that I must follow, if hired. I understand that Employer reserves the right to change its policies and procedures, including personnel policies and employee benefits at any time without approval by employees, and that these changes are accepted by continuing my employment with Employer. I certify that I am submitting this application because of a good faith desire for employment with Employer. If offered employment, I will consider the offer, and if I accept, I will fulfill the requirements of the job to the best of my ability. Your Signature (required) Confirm e-Signature Review Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signatures There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
