Sweetwater County Events Complex
3320 Yellowstone Road
Rock Springs, WY 82901
(307) 352-6789 or (307) 872-6348

Application for Employment
An equal opportunity employer M/F/H/V


Contact Information:
Name (first, middle, last):
Address Line 1:
Address Line 2:
City:
State:    
Zip Code: 
Email Address:
Phone: 
Position(s) applied for:

Availability
Are you eligible for employment in this county?
Are any other family members working here full time?
If yes, who?
Relationship
Are you presently employed?
Date available for work?
Are you available to work? Full Time
Part Time
Temporary
Shift Work
Weekends
Evenings
Are you available for overtime as needed?
Are you available for travel as needed?
Do you possess a valid Driver's License?
What is your Date of Birth?
Who referred you to us?

Employment History
Beginning with your present or last job, please provide the following information about your employment record.  Please complete thoroughly.  
Name & Address of Employer
Dates of Employment
Beginning Pay
Ending Pay
Reason for leaving
Name of Supervisor
Your job title & description of work performed

Name & Address of Employer
Dates of Employment
Beginning Pay
Ending Pay
Reason for leaving
Name of Supervisor
Your job title & description of work performed

Name & Address of Employer
Dates of Employment
Beginning Pay
Ending Pay
Reason for leaving
Name of Supervisor
Your job title & description of work performed

References:  List name, address and telephone number of three business/work references who are not related to you and who are not previous supervisors.  If not applicable, list three school or personal references who are not related to you.  
Name & Address
Telephone
Years Known

Name & Address
Telephone
Years Known

Name & Address
Telephone
Years Known

I understand and agree that any misrepresentation by me on this application will be sufficient cause for voiding this application or for separating me from the service of the Sweetwater County Events Complex if I become employed.  I further understand that acceptance of an offer of employment does not create a contractual obligation upon the Sweetwater County Events Complex to continue to employ me in the future.   

I authorize the Sweetwater County Events Complex to investigate my work performance with my references and with my previous employers, (except as noted), and to investigate other such records, (e.g. motor vehicle operator records, criminal records, etc.), pertinent to the job(s) for which I have applied.  I hereby release from liability the Sweetwater County Events Complex and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information.  

I understand and consent to physical examinations, including drug and alcohol screenings, and other test/evaluations, etc. that may be required to certify my suitability for the work for which I have applied, and I release from liability the Sweetwater County Events Complex and its representatives from any legitimate actions it takes relating  to the results of such tests.  I also understand that refusal to submit to the physical and drug screening will constitute voluntary withdrawal of my application for employment.  I also understand that the Sweetwater County Events Complex may refuse to hire me as a result of the examination, and I agree to hold the Sweetwater County Events Complex harmless for such refusal.  

If I become employed, I also agree to such physical examinations, including drug and alcohol screenings, and other test/evaluations, etc. as reasonably may be required to certify my continuing suitability for any work which I may encounter while an employee of the Sweetwater County Events Complex.  I further agree to hold the Sweetwater County Events Complex harmless for the consequences of such examinations, screenings, etc.  

I understand that any employment offered to me as a result of this application is not guaranteed to be permanent in nature, is at-will in nature, and may be subject to reduction or termination as provided in the Events Complex personnel policy manual.  


  I have read and agree to the terms set forth above.  

Sweetwater County Events Complex considers all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, marital or veteran status.