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1111 South 4th Street
P.O. Box 328
Lamar, CO 81052
719-226-2250
Proudly Serving Prowers, Baca, Kiowa
and Eastern Bent Counties in Colorado

Apply here

First name*

Last name*

Email*

Phone*

Are you at least 18? *

Yes

No

Tell us about yourself...*

Position Applying For: *

Availablility: *

Full Time

Part Time

Do you hold any professional license or certificates? *

Three References: (Name, Phone, Relation)*

3 Previous Employers: (Name, Supervisor, Phone)*

Do you have a valid drivers license? *

Yes

No

Have you had any moving violations in the past 7 years? *

Yes

No

Have you been convicted of or pleaded guilty to a crime? *

Yes

No

If Yes explain...

Are you currently awaiting trial for a criminal offense? *

Yes

No

If Yes explain...

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