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Employment Application

Employment Application

*Boys & Girls Clubs of Pueblo County considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, marital or veteran status, sexual orientation, the presence of a non-job-related medical condition or handicap or any other legally protected status.

Online Employment Application

Position Applying For:

Full-Time

Part-Time

Temporary

Today's Date:

How did you hear about this job opportunity:

Club Website

Newspaper

Referral

Other

Have you ever applied or worked for Boys & Girls Clubs of Pueblo County before:

Yes

No

Employment Dates:

Name:

Address

City:

State:

Zip Code:

Email:

Home Phone:

Cell Phone:

Are you currently employed?:

May we contact your present employer?:

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status:

On what date will you be available for work?

Are you available to work:

Are you currently on "lay-off" status and subject to recall?

Have you been convicted of a felony within the last 7 years?

If Yes, please explain:

High School Name & Location:

Years Completed:

Diploma/Degree

Describe any specialized training, apprenticeship, skills and extra-curricular activities :

Describe any honors you have received

State any additional information you feel may be helpful to us in considering your application:

Undergraduate College/University

Years Completed

Diploma/Degreee

Describe Course of Study:

Describe any specialized training, apprenticeship, skills and extra curricular activities.

Describe any honors you have received.

State any additional information you feel may be helpful to us in considering your application.

Graduate/Professional

Years Completed

Diploma/Degree

Describe Course of Study

Describe any specialized training, apprenticeship, skills an extracurricular activities.

State any additional information you feel may be helpful us in considering your application.

Indicate any foreign languages you can speak, read and/or write:

List professional, trade, business, or civic activities or offices held. (You may exclude membership which would reveal gender, race, religion, etc.)

Reference #1:

Reference #2 :

Reference #3:

Have you ever had any job-related training in the United States military?

Yes

No

If Yes, please describe:

Are you physcially or otherwise unable to perform the duties of the job for which you are applying?

Yes

No

1. Employer (List with your present or last job)

Address:

Telephone Numbers

Job Title:

Reason for Leaving

Date Started:

Date Ended:

Work Performed:

Hourly Rate/ Salary:

Supervisor:

2. Employer

Address:

Telephone Number:

Job Title:

Reason for Leaving:

Date Started:

Date Ended:

Work Performed:

Hourly Rate/Salary:

Supervisor:

3. Employer

Address:

Telephone Number:

Job Title:

Reason for Leaving:

Date Started:

Date Ended:

Work Performed:

Hourly Rate/Salary:

Supervisor:

4. Employer:

Address:

Telephone Number

Job Title:

Reason for Leaving

Date Started:

Date Ended:

Work Performed:

Hourly Rate/Salary:

Supervisor:

Thank you for contacting us.
We will get back to you as soon as possible

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Para español haga clic en la bandera

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Support Services Office

Mailing Address:

635 W. Corona, Suite 100

Pueblo, CO 81004

Email: club@bgcpueblo.org

Phone: 719-564-0055

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