Community Options, Inc.
Employment Application
Note: All Applicants must be at least 18 years of age.
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What is the best way to contact you?

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Have you ever been employed with us?

Are you currently employed?

May we contact your present employer?

Do you have any friends, relatives or acquaintances working for Community Options?

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?

Do you have a current, VALID, Colorado diver's license?

Our Insurance company has additional requirements for staff under age 21. Are you under 21 years of age?

If yes (you are under 21), do you have no more than one moving violation or one accident in the past three years?

EMPLOYMENT

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Dates of Employment: 
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Dates of Employment: 
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Dates of Employment: 
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Do you have experience working with people who have developmental/intellectual disabilities?

High School Graduate?

Please list your education starting with high school (required), vocational schools, colleges and universities attended.
 Name of SchoolCity, StateDegree Obtained
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REFERENCES: List three individuals who are not related to you, are not previous employers and who can attest to your character.
 NamePhoneOccupationHow do you know this person
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APPLICANT'S STATEMENT

NOTE: INCOMPLETE APPLICAITONS WILL NOT BE CONSIDERED.

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