This application is for qualification purposes only.
The applicant will be notified for further information at the time of possible hiring.
The * represents a required field.
Date*:
Position you are applying for*:
First Name*:
MI:
Last Name*:
If there is any further information about your name that we would need to verify your work/education record, please list below:
Social Security #*:
Phone Number*:
Email*:
Address*:
P.O. Box*:
City*:
State*:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C.
West Virginia
Wisconsin
Wyoming
Postal Code*:
Are you over 18 years old*?
Yes
No
Are you over 21 years old*?
Yes
No
Are you legally authorized to work in the U.S.*?
Yes
No
Are there any reasons you could not perform the essential functions of the job you are applying for*?
Yes
No
If the answer was yes, please explain the type of accomodations required*:
Our work sometimes requires overtime, or hours outside a normal defined workday or workweek. Will you be able to work such a schedule*?
Yes
No
Have you ever been convicted of a crime? Conviction will not necessarily disqualify an applicant)*
Yes
No
List any relatives working for this company:
Date you can start working*:
Salary Desired*:
EMPLOYMENT HISTORY:
Are you currently employed*?
Yes
No
May we contact them?
Yes
No
Company Name:
Phone Number:
Company Address:
Have you ever applied of worked for this company before*?
Yes
No
Do you have a current Coloroda Gaming License*?
Yes
No
License Number:
If no, are you willing to get a license?
Yes
No
1. Previous Employer:
Dates worked:
From
To:
Phone #:
Address:
Supervisor's Name:
List job duties below:
2. Previous Employer:
Dates worked:
From
To:
Phone #:
Address:
Supervisor's Name:
List job duties below:
3. Previous Employer:
Dates worked:
From
To:
Phone #:
Address:
Supervisor's Name:
List job duties below:
U.S. MILITARY SERVICE:
Branch of Service:
Rank/Rate:
Are you presently in the National Guard or Reserve?
Yes
No
EDUCATION:
High School Graduate/GED:
College:
Major:
Degree:
REFERENCES:
Please list two people, not related to you, whom you have known for at least one year.
1. Name
Address:
Years known:
Phone:
2. Name
Address:
Years known:
Phone:
If you would like to, please relate any special skills you might have that pertain to the job you are applying for in the field below:
