Phone (720)-938-3600 Click here to download SC Employment Application form. APPLICATION INFORMATION LastFirstMiddleDate Address: Apartment/Unit#: City: State: Zip Code: Phone: Email: Date Available: Social Security No.: Desired Salary:$ Position Applied for: 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 wroked for this company? Yes No If yes, when? Have you ever been concicted of a felony? Yes No If yes, explain: EDUCATION High School: Address: From: To: Did you graduate? Yes No Diploma: College: Address: From: To: Did you graduate? Yes No Degree: Other: Address: From: To: Did you graduate? Yes No Degree: REFERENCES Please list three professional references. Full Name: Relationship: Company: Phone: Address: Full Name: Relationship: Company: Phone: Address: Full Name: Relationship: Company: Phone: Address: PREVIOUS EMPLOYMENT Company: Phone: Address: Supervisor: Job Title: Starting Salary:$ Ending Salary:$ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? Yes No Company: Phone: Address: Supervisor: Job Title: Starting Salary:$ Ending Salary:$ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? Yes No Company: Phone: Address: Supervisor: Job Title: Starting Salary:$ Ending Salary:$ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? > Yes No MILITARY SERVICE Branch: From; To: Rank ad Discharge: Type of Discharge: If other than honorable, explain: DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or missing information in my application or interview may result in my release. Date: Signature: