Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

If other

Are you 18 years old or over? *

Yes
No

What position are you applying for?

If you are applying for a service provider position, you must have a Colorado Dept. of Regulatory Agencies board-issued license before applying.

Are you interested in *

Full Time
Part Time
Temp
Holiday

High School *

Location *

Graduation Year *

Diploma / GED *

Yes
No

Vocational / Technical School *

Location *

Graduated? *

Yes
No

College / University School

Location

Graduated?

Yes
No

Other applicable education or skills

Name of Business *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Position

Dates of Employment (Month/Year)

Responsibilities

Monthly Gross Compensation (Excluding tips if any)

Reason for leaving or seeking change

Previous Employer 2

Yes
No

Professional references only please

Reference #1

Name *

Phone *

Relationship *

Reference #2

Name *

Phone *

Relationship *

Why are you interested in TEN? *

Why should we consider you? What makes you unique? *

What are your two major strengths? *

What are your two major weaknesses/challenges? *

Have you ever been convicted of a felony? *

Yes
No

Are you a US citizen or legally authorized to be employed in the United States? *

Yes
No

I authorize inquiries to be made on the information contained in this application if I am considered for employment.

You may be required to complete a lab test, at TEN's expense, to verify non usage of illegal drugs. No offer will be made to a candidate using such drugs. It is also a cause for immediate termination should usage be established later on.

I understand that no employment contract shall exist unless written and formally signed by both parties.

Today's Date *

Signature *

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Additional Information

EMPLOYMENT APPLICATION

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