The PLACE Employment Application Full Name Street Address Apartment/Unit # City State Zip Phone Email Position Title 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 If yes, when? Have you ever worked for The PLACE (previously Urban Peak Colorado Springs)? yes no If yes, when? Do any of your friends or relatives currently work at The PLACE? yes no If yes, who? Highest level of education completed High School/GED Some Associates Studies Associate Degree Some Undergraduate Studies Bachelor’s Degree Some Graduate Studies Master’s Degree or higher High School Years attended Higher Education Years Attended Additional Education Years Attended Reference #1 Phone number Address Relationship Company Dates known Reference #2 Phone number Address Relationship Company Dates known Reference #3 Phone number Address Relationship Company Dates known 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. Send
