Application for General
Are you related to anyone currently employed by Mesa County? Yes No
04a46494600 Mesa County Human Resources/Personnel
E mployment Grand Junction,Box 20,000-*****-**** P.O.
010******** Colorado
970-***-**** (General Information)
0930000ffdb0Opportunity www.mesacounty.us
Mesa County is an Equal
E mployer
043******** and date the application prior to submitting to fully may result in your Application
Application MUST be completed in full. Failure to complete the Application
Technical Knowledge/Experience/Skills:
being rejected. affidavit, sign
Please read the Mesa County Human
Asphalt/Paving Cement Finishing Forestry Painting
030******** with the Sheriff's Office, a
Resources/Personnel.
If you are applying for a position with the Criminal
If you are applying for a position
Automotive Construction Heavy Equipment Plumbing
Justice Center, a different application must be
different application must be completed. Please click on the
30405040304Draftingthe Mesa County Horticulture
SO Recruiting Packet Recruiting
SO button to visit CJSD
completed. Please click on the CJSD Application button
CAD AWelding
to access the appropriate application.
Packet pplication
Sheriff's Office Web site.
05070504040Electrical
PERSONAL DATA
Carpentry Other
Sep 6, 2013
507******** Service Technician
Animal
0606080a080
Education Murphy Denise D
Type of School Name of School and Address
8080808080a 1012 Belford Ave.
Did you graduate?
Grand Junction High School Yes No
080a0a0b0a0 Junction
Grand Junction CO 81501
GED/Equivalent?
Grand Yes No
High School
970-***-**** 970-***-**** dmurphy5057@yaho
a080d0d0e0e Grand Junction CO 81501 o.com
0d0d1212121work in the College States?Yes No
Are you legally permitted to Mesa State United Dates Attended:
212******** Junction Grand 2000 2002
Sep 13, 2013
141******** Did you graduate?
Grand Junction CO 81501 Yes No
College/University
Medical/Computer
4ffdb0043010 www.connectingcolorado.com
N/A
505******** or have you ever been convicted of, admission to or a plea of nolo contendere to
Are you currently involved in
Yes No
Dates Attended:
any law violation (other than minor traffic offenses)?
0f0a0a0f120f
0c0f1216151 Did you graduate? Yes No
College/University
141******** by Mesa County?
Have you ever been employed Yes No
Office Experience/Skills
Typing Keyboarding? 35
Yes No
Transcription/Dictaphone? Proficient?
Yes No Yes No
Ten Key? Touch? Sight?
Yes No Yes No Yes No
Software Product Version Beginning Intermediate Advanced
Windows 2007
Windows 2010
Adobe 8 8
Other Office Equipment Known: Type
Copier Various types
faxes, scaners Various types
Licenses and Certifications:
On the job Dental Assisting 6 years 6 years N/A N/A
L ist any Foreign Language and your level of ability for
each
Reading Speaking Understanding Writing
Language Exc Good Fair Exc Good Fair Exc Good Fair Exc Good Fair
Driving Record (Required):Do you have a valid vehicle operator's license? Yes No
Give the following information concerning your vehicle operator's license(s):
R
Colorado 12-07-2015 94-189-0917
For the last 10 years, describe in brief, any traffic violations/accidents in which you were involved. Give dates
a nd locations:
Date of Accident Location (City/State) Briefly Describe Accident Disposition
Has your license ever been suspended, revoked or expired? Yes No
References: Only include individual familiar with your WORK ability -- DO NOT LIST
R ELATIVES.
Carole Strobl 25+ Retired
Grand Junction
Is this their:
Grand Junction CO 81507 Business Address Home Address
N/A
Susie Mulin 10+ LPN
Grand Junction
Is this their:
Grand Junction CO 81504 Business Address Home Address
N/A
12+
Patrick Hinton Pepsi Merchandiser
Grand Junction
Is this their:
Grand Junction CO 81506 Business Address Home Address
N/A
Work History/Employment Record
Start with your present or most recent position and work backwards chronologically through your experience through t he
l ast ten(10) years (including part-time, temporary or seasonal employment and any military services).
Please identify by month and year any period of unemployment . Attach a resume if you desire and use the
additional employment history pdf if you need more space. Every effort will be made to contact previous employers;
t herefore, it is (including anycorrect telephone numbersbe completed in full whether or not a resume is
This section critical that the attached sheets) must are provided.
i ncluded.
Current or Most recent employer
Are you currently working for this employer? Yes If yes, may we contact ?
No Yes No
12/2012 Sprouts Farmers Market Cashier
06/2013 Independent Ave
Not enough hours to
support my self .
10.20 hr. Grand Jct CO 81505
970-***-**** Being a cashier you are in charge of everything around your check stand including
stocking cleaning and always maintaining excellent customer service and satisfaction at
Employment Type
all times.
Full- Time
Part-Time
Julie Palmer
Voluntary (Paid or Non-Paid)
01/2003 Oral Health Partners Dental Assist
12/2009 Wellington Ave.
Dentist moved to
another town and I was
laid off.
11.50 hr. Grand Junction CO 81501
303-***-**** I assisted patients by checking them in/out at the front desk, putting their information
in the computer. I worked along side the Doctor in Procedures, I did sterilization
Employment Type,stocking and ordering supplies for the dental clinic.
Full- Time
Part-Time
Doctor Karen Foster
Voluntary (Paid or Non-Paid)
08/1995 Scenic Elementary School Reading Assistant
05/2000 West Scenic Dr.
I went back to college
8.00 hr Grand Junction CO 81507
970-***-**** I substituted for the secretary and librarian and tutored children in Math and Reading
making sure to bring them up to the school competency standards.
Employment Type
Full- Time
Part-Time
Doug Levingson and Nancy Anson
Voluntary (Paid or Non-Paid)
Employment Type
Full- Time
Part-Time
Voluntary (Paid or Non-Paid)
Employment Type
Full- Time
Part-Time
Voluntary (Paid or Non-Paid)
Employment Type
Full- Time
Part-Time
Voluntary (Paid or Non-Paid)
Employment Type
Full- Time
Part-Time
Voluntary (Paid or Non-Paid)
Employment Type
Full- Time
Part-Time
Voluntary (Paid or Non-Paid)