EMPLOYMENT OPPORTUNITY

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1 Open Competitive EMPLOYMENT OPPORTUNITY Adams State College Facilities Services LTC Trainee I (custodial) GYA-6067 Job Location: Alamosa, CO Salary: $9.00 /hour Release Date: 4/23/2012 Apply by: 4/30/2012 Employment Type: Full-time, Shift work, Nights and Weekends. Class Code: D8Fl IX Information about the Job:...Our Custodial Staff are an essential part of Adams State College success. Maintaining the cleanliness of our facilities is crucial to provide a safe, comfortable, fully functional, and aesthetically pleasing campus environment that is conducive to teaching, learning, living, and recreating the best possible experience to our customers. Perform set-ups to support the facility, customers, and property ofthe agency. This position consists of cleaning and servicing buildings in our housing department and student union building by disinfecting and sanitizing restrooms, bathrooms/showers, sweeping, mopping, dusting, windows, vacuuming, removal oftrash/debris, moving furniture, cleaning kitchens including stoves, refrigerators, vents, sinks and cabinets, closets, stripping and waxing floors/hallways, carpet cleaning, constructing set-ups for special functions, supervising student (work-study) and community service help and other duties as assigned. This position consists on working shift hours and weekends. Minimum Qualifications: Six months of custodial experience and a valid Colorado Driver's License. Important Note to Applicants: Applications are a part of the selection/employment process and will be reviewed to determine if you meet the minimum requirements for the position. Be sure your application specifically addresses the experience as listed in the duties statement above. Address your experience, work products, and accomplishments as they relate to the position duties and minimum requirements in detail. Attach additional pages if necessary to fully explain your experience and accomplishments. Failure to include the required information and/or documents by the application deadline may result in your application not being considered for the position. Applications must be completed in their entirety (the words "See Resume" on the application are NOT acceptable) and SIGNED to be accepted. Resumes and cover letters will not be accepted in lieu ofthe official application form s. The deadline for RECEIPT of application materials is 5:00 p.m. on the closing date.

2 Adams State College performs background checks as a condition of employment for prospective employees and current employees seeking certain promotional opportunities. Offers of employment are contingent upon completion of an acceptable background check. Applicants will be asked to provide personal data and sign a release form before the background check is conducted. Applicants who fail to provide the data and consent form will not be considered for employment or promotion. Background checks include review of criminal records and sex offender registry background. Credit and driving record background may apply to certain positions. How To Apply: SUBMIT YOUR APPLICATION TO: Department of Facilities Services Rodney Martinez Position #6067 Adams State College 208 Edgemont Blvd. Alamosa, CO OR fax to (719) Submit a "State of Colorado Demographic Information Form" and a "State of Colorado Application for Announced Vacancy" to the address above. All paperwork must be received at the address above no later than 5:00 PM on Friday, December 7, 2007 in order to be considered for this position. Post marks will NOT be accepted. Resumes will NOT be accepted in lieu of the application. You may pick up an application from the Human Resources office or log onto the website at Job Application Forms. YOU MUST BE A RESIDENT OF COLORADO TO APPLY. THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER.

3 STATE OF COLORADO DEMOGRAPHIC INFORMATION NAME: PLEASE TYPE OR PRINT IN BLACK INK A completed Announced Vacancy Application Form must be attached to this completed form. MAILING ADDRESS: THE FOLLOWING INFORMATION IS CONFIDENTIAL only) FIRST CONTACT PHONE NUMBER: SECOND CONTACT PHONE NUMBER: ADDRESS: VOLUNTARY INFORMATION The information in this box is voluntary. Information is requested for federal record keeping purposes only. This sheet will be permanently separated from the rest of your application. It is the policy of the state that its work force reflects the diversity of the state. ETHNICITY/RACE- Please select one or more of the following choices: American Indian or Alaskan Native, not Hispanic or Latino Asian, not Hispanic or Latino Black or African American, not Hispanic or Latino GENDER: Male Female Hispanic or Latino Native Hawaiian or Pacific Islander, not Hispanic or Latino White or Caucasian, not Hispanic or Latino Two or More Races, not Hispanic or Latino BIRTH DATE: Some state jobs have a legally required minimum age. Provide your entire birth date to be considered for these type(s) of jobs. Month: Day: Year: VETERAN'S PREFERENCE INFORMATION: Under the Colorado Constitution, art. XII, sec. 15, qualified veterans and surviving spouses are eligible for preference points when taking a competitive examination, other than a promotional examination. If you are an honorably discharged veteran or unremarried surviving spouse of a veteran who served on active duty in the United States Armed Forces during one of the periods for which the federal government awards veteran's preference points, you may claim points on a competitive examination for a position with the state personnel system. Please attach a copy of a DD214 form and other supportive documentation for veteran's points to be awarded to your final passing score(s). If you are a current or previous state employee you cannot claim veteran's preference points unless you earned the points after becoming a state employee. 1 - Disabled Veteran 2 - Veteran 3 Disabled Vietnam Era Veteran 4 - Vietnam Era Veteran 5 - Unremarried Surviving Spouse COLORADO DRIVER'S LICENSE: BACKGROUND CHECK: If required for the job, would you be willing to submit to a background check? Yes No STUDENT LOAN INFORMATION: Do you have any outstanding loans or an obligation to a state-supported institution of higher education? Yes No If yes, is this loan or obligation past due? Yes No COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER

4 STATE OF COLORADO APPLICATION FOR ANNOUNCED VACANCY A completed Demographic Information Form must be attached to this completed form when submitted to the agency listed in the job announcement. JOB TITLE AS ANNOUNCED: CLASS CODE: POSITION NUMBER: AGENCY ANNOUNCING VACANCY: NAME: Last Name First Name Middle Name Recruitment Information: Check the one (1) that best describes how you learned about the job you have applied for. A. State of Colorado (CO-Jobs) website I. Posted announcement at State Agency Office B. State Agency website J. Posted announcement at Workforce Center C. Other website K. Posted announcement at School Placement Office D. Denver Post L. Job Fair E. Other newspaper M. Friend/Relative F. State Agency newspaper/newsletter N. Current State Employee G. Radio O. Other H. Television FOR AGENCY USE ONLY Application Received: Application Entered: Application Reviewed: ACCEPTED REJECTED CONDITIONAL ACCEPT Reason for reject/conditional accept: Education Experience Education and Experience Other Second Review of Application: AGREE DISAGREE

5 LICENSES/CERTIFICATION/REGISTRATIONS: If a license/certificate/registration is required for the job for which you are applying (e.g., Journeyman Plumber, Professional Engineer, etc.) complete the following: Professional/Specialty License Type: License Number: Expiration Date: State and/or Agency Granting License: LANGUAGE PROFICIENCY: List language skills, other than English, you have and your level of proficiency (speak, read, write, etc.) Language: Level of Proficiency: EDUCATION HISTORY: This section must be accurate and complete. The application is used to determine if you meet the minimum job requirements as published in the job announcement. High School Graduate: Yes No GED: Yes No UNIVERSITY/COLLEGE (UNDERGRADUATE, GRADUATE, POST GRADUATE) Name: Location: Attended From - To (Mo-Yr) Degree Awarded: Date: Major Field of Study: Minor Field of Study: Total Semester Hours: Name: Location: Attended From - To (Mo-Yr) Degree Awarded: Date: Major Field of Study: Minor Field of Study: Total Semester Hours: Name: Location: Attended From - To (Mo-Yr) Degree Awarded Date Major Field of Study Minor Field of Study Total Semester Hours BUSINESS, TRADE, TECHNICAL, VOCATIONAL SCHOOL OR MILITARY TRAINING Name Location: Attended From - To (Mo-Yr) Title of Program or Subjects Taken Total Classroom Hours Certificate Received Date Name Location: Attended From - To (Mo-Yr) Yes No Title of Program or Subjects Taken Total Classroom Hours Certificate Received Date Yes No

6 EMPLOYMENT HISTORY: List your employment history starting with the most recent job, including part-time, temporary, and volunteer jobs. If more than one job was held with a given organization, list each job held as a separate period of employment. Under "Duties," describe clearly the tasks you performed and the nature of your supervisory, technical, or other responsibilities as they relate to the job for which you are applying. Be complete and specific in detailing of duties. Information must be accurate. If it is found that information provided is falsified, you will not be considered for a job with the State of Colorado and/or may be removed from a job after hire. If you need additional space attach a separate sheet of paper using the same format. 0 0

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9 REFERENCES: List three persons who are not related to you and who have definite knowledge of your business or professional qualifications for the job for which you are applying. Do not repeat names of supervisors listed under work history. They may be contacted as well. Name Business/Occupation Relationship Address (Street, City, State, Zip Code) Phone Name Business/Occupation Relationship Address (Street, City, State, Zip Code) Phone Name Business/Occupation Relationship Address (Street, City, State, Zip Code) Phone CERTIFICATION: I certify that I possess the experience, education and/or licenses required for the job for which I am applying. I also certify that all statements, information and documents provided with this application are true, complete and correct to the best of my knowledge and are made in good faith. I understand that omissions, misleading, false or untrue information, or any attempt at fraud or deceit in any manner connected with this application and subsequent testing may result in my NOT being considered for jobs with the State of Colorado; may constitute grounds for discipline and/or termination after hire; and/or may constitute grounds for further actions pursuant to law. If requested, I can and will supply documentation that will confirm that the entries made on this application are true, complete and correct. Notice to Individuals applying for employment with a child care provider or facility, per Colorado Revised Statutes (C.R.S) , Any applicant who knowingly or willfully makes a false statement of any material fact or thing in this application is guilty of perjury in the second degree as defined in section , Colorado Revised Statutes, and, upon conviction thereof, shall be punished accordingly. I am also aware that the State of Colorado has a payroll direct deposit requirement for employment. When needed I can supply the correct documentation for direct deposit. Signature (unsigned applications may not be considered) Date

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