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Application

Please fill out the following as detailed as possible. Be sure to add what role you are applying for under "desired position".

Birthday
Month
Day
Year
Are you legally Eligible to work in the U.S.?
Yes
No
Have you ever worked for this employer?
Yes
No
Do you have a valid driver's license?
Yes
No
Have you had any accidents in the past 3 years?
Yes
No
Have you had any moving violations in the past 3 years?
Yes
No
What did you receive?
Graduate?
Yes
No
May we contact this employer?
Yes
No
May we contact this employer?
Yes
No
May we contact this employer?
Yes
No
U.S. Military Service?
Yes
No
If asked, are you willing to consent to a background check?
Yes
No

Center for Independence (CFI) is an AT-WILL COMPANY. CFI conducts business in accordance with all applicable State and Federal Laws. CFI is an equal opportunity employer (EOE) and does not discriminate on the basis of race, color, religion, national origin, sex, age, sexual orientation, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions are based on job-related factors.

BY SIGNING BELOW, "I certify that all the Information submitted on the application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the Company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with and without notice at any time, at either my or the Company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice at any time, by the company. I understand that no Company representative, other than it's Chief Executive Officer, and then only in writing and signed by the CEO, may enter into an agreement contrary to the foregoing."

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NOTE: A job offer is contingent upon acceptable references from current and/or former employers. BY SIGNING BELOW, "I give my permission for CFI to contact my current and/ or previous employers and personal references as indicated in this application OR as I have provided in writing. I give permission for these employer/ references to verify dates of employment, salary information, reason for leaving, and eligibility for rehire status."

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Please Send Resume and Additional Material  To Dnelson@CFIGJ.org 
or Fax to 970.245.3341

Grand Junction Office

Service Area: Mesa & Delta Counties

Address: 740 Gunnison Ave.

Grand Junction, CO 81501

Phone: 970-241-0315

Toll Free: 800-613-2271

FAX: 970-245-3341

Hours: 8a-5p M-Th, 8a-12p F

Closed Daily 12:00-12:30 for lunch

Glenwood Springs Office

Service Area: Eagle, Pitkin & Garfield Counties

Address: 401 27th St, Ste 115

Glenwood Springs, CO, 81601

Phone: 970-241-0315

Toll Free: 800-613-2271

FAX: 970-245-3341

Hours: By Appointment only

Closed Daily 12:00-12:30 for lunch

Montrose Office

Service Area: Montrose, Ouray
& San Miguel Counties

Address: By Appointment

Phone: 970-241-0315

Toll Free: 800-613-2271

Fax: 970-245-3341

Hours: By appointment only

Salida Office

Service Area: Chaffee, Lake,

Gunnison, & Hinsdale Counties

Address: By Appointment

Phone: 970-241-0315

Toll Free: 800-613-2271

Fax: 970-245-3341

Hours: By appointment only

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