Application for Employment

ERBM Recreation & Park District is dedicated to the principles of equal employment opportunity. We prohibit unlawful discrimination against applicants and employees on the basis of age 40 and over, race, sex, color, creed, religion, national origin, ancestry, disability, sexual orientation, transgender status, veteran status, genetic information, or any other applicable status protected by state or local law. For questions, please contact the Human Resource Office by calling 970.878.7417, emailing cathy@erbmrec.com, or stopping by 101 Ute Road, Meeker, CO 81641.

1. Personal Information

2. Employment Desired

3. Education

Employment History

Please list the names of your employers in consecutive order with present/most recent listed first. Account for all periods of time, including military service and any periods of unemployment. If self-employed, give firm name and supply business references. Note: A job may be contingent upon acceptable references from current and former employers. You must complete this section even if attaching a resume.

Employer 1.

Employer 2.

Employer 3.

References

List three professional references who have knowledge of your work performance, preferably within the last 5 years, who are not relatives or friends. If you do not have an employment history and cannot provide professional references, you may provide personal references (who are not related to you) who have knowledge of your character, preferably within the last 5 years.

Affidavit, Consent and Release

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. 

By submitting this form, I am authorizing the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employer, or organization 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 that:

1. I will be required to successfully pass an alcohol and/or drug screening examination. I hereby consent to a pre- and/or post-employment alcohol and/or drug screen as a condition of employment.

2. I will be required to successfully pass a complete pre-employment background and/or motor vehicle screening before and/or after an offer of employment is extended.

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 EXECUTIVE DIRECTOR OR BOARD OF DIRECTORS HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIC PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE EXECUTIVE DIRECTOR OR BOARD OF DIRECTORS AND THE EMPLOYEE.

IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF EASTERN RIO BLANCO METROPOLITAN RECREATION AND PARK DISTRICT, I HAVE THE RIGHT TO END MY WORK RELATIONSHIP WITH THE DISTRICT, WITH OR WITHOUT ADVANCE NOTICE OR CAUSE. THE DISTRICT HAS THE SAME RIGHT.

Please type your full name to sign this application in the field below.

Note: If you need to submit any additional documents (resume, CV, etc.) along with this application, please email to cathy@erbmrec after submitting this form. Thank you!

This application for employment will remain active for a limited time. Ask Human Resources for details.

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