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Application for Employment

  1. Job Information
  2. What type of employment are you seeking
  3. Applicant Information
  4. Are you 18 years of age or older?*
  5. *If hired, you may be required to submit proof of age.

  6. Have you previously applied for a Town of Berthoud Job?
  7. Do you have any relatives employed by the Town of Berthoud?
  8. Have you ever been convicted of crime? Include any plea of "guilty" or "no contest" (Exclude minor traffic violations.)
  9. If employed do you expect to be engaged in any additional business or employment outside of our job?
  10. For driving jobs only: Do you have a valid driver's license?
  11. For driving jobs only: Have you had your driver's license suspended or revoked in the last 3 years?
  12. Education
  13. Work History

    List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give business name and supply business references.

    Note: A job offer may be contingent upon acceptable references from current and former employers.

  14. Additional Questions
  15. Have you worked or attended school under any other names:
  16. Are you presently employed?
  17. If yes, who can we contact?
  18. Have you ever been terminated or asked to resign from a job?
  19. References
  20. Please Read Each Statement Carefully Before Signing

    I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I understand I may be required to successfully pass a drug screening examination. I hereby consent to possible drug screening as a condition of employment, if required. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination if required for the position. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. 

    I understand that this application, verbal statements by management, or subsequent employment does not create an express or implied contract of employment nor guarantee employment for any definite period of time. Only the president of the organization has the authority to enter into an agreement of employment for any specified period and such agreement must be in writing, signed by the president and the employee. If employed, I understand that I have been hired at the will of the employer and my employment may be terminated at any time, with or without reason and with or without notice. 

    If hired, you will be required to furnish proof of your eligibility to work in the United States.

    I have read, understand, and by my signature consent to these statements. 

    By typing your name and submitting this application You agree to the above statement.

  21. Submitted applications must be complete for consideration. Incomplete job applications will be excluded from selection process.
  22. Additional Information

    Occasionally the format of an employment application makes it difficult for an applicant to adequately summarize work history and education. Please upload any additional application documents below. (This area is not required.)

  23. Maximum size allowed: 5 MB
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  24. Maximum size allowed: 5 MB
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  25. Maximum size allowed: 5 MB
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  27. Leave This Blank:

  28. This field is not part of the form submission.