Employment Application

Are you at least 21 years old?

yes no

Are you a citizen of the United States?

yes no

If no, are you authorized to work in the U.S.?

yes no

Have you ever applied to work for The PLACE (previously Urban Peak Colorado Springs)?

yes no

Have you ever worked for The PLACE (previously Urban Peak Colorado Springs)?

yes no

Do any of your friends or relatives currently work at The PLACE?

yes no

Highest level of education completed

Additional Education

Have you ever been convicted of a misdemeanor?

yes no

If yes, please explain

Have you ever been convicted of a felony?

yes no

If yes, please explain

Have you ever been listed on the Child Abuse Register?

yes no

If yes, please explain

Have you ever been listed on the Sex Offender Registry?

yes no

If yes, please explain

Please attach a current resume or curriculum vitae to your application detailing all relevant work experience, including names of previous employers/companies, dates employed, and job duties performed.

If you wish to include a cover letter, you may upload it here.

I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I also release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. And I understand that I am required to abide by all rules and regulations of the employer.

I agree.

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Tax Identification Number: 84-1549702

IRS 501(c)3 Letter

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The PLACE Employment Application

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