Craft Health Employment Application

Important: This is step 1 of your application packet. After you submit this application, you will be taken to a separate background release. Applicants for direct-care roles must also submit a separate Colorado CAPS authorization. Please finish each form before closing your browser.

Use your full legal name and the same personal email address on all forms so Human Resources can match your records.

Applicant Information – Step 1 of 4

Position Applying For

Legal Name

First

Last

Preferred Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Other names under which you have attended school or been employed

Are you eligible for work in the United States?

Have you ever been employed by Craft Health?

If yes, list the dates of employment and reason for leaving

Are you related to any current Craft Health employee?

If yes, please list their name and relationship to you

If driving is required for the position, do you have a valid driver's license?

If yes, list the state of issuance, license # and expiration date

References (if different than listed under Work Experience). At least two references must be listed on your application and should not be people related to you.

Reference #1 Name

First

Last

Relationship

Email Address

Years Known

Reference #2 Name

First

Last

Relationship

Email Address

Years Known

Craft Health is an Equal Opportunity Employer committed to excellence through diversity and does not discriminate in hiring based on federally-protected classifications and additional protected classifications under Colorado and local law. I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Craft Health to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that employees of Craft Health are at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States and to comply with Craft Health regulations. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. **If you need help with filling out this application form or during any phase of the application or interview process, please notify Human Resources and every reasonable effort will be made to accommodate your needs in a timely manner.** I understand that by typing my name below and clicking on "Submit," I am electronically signing this document and am certifying that I have read, understand and accept this information.

Date

Craft Health Employment Application

Education

Skills

Work Experience

Employer #2 – please fill in details and do not type "See Resume"

Employer #3 – please fill in details and do not type "See Resume"

Employer #4 – please fill in details and do not type "See Resume"

References (if different than listed under Work Experience). At least two references must be listed on your application and should not be people related to you.

Education

Skills

Work Experience

Employer #2 – please fill in details and do not type "See Resume"

Employer #3 – please fill in details and do not type "See Resume"

Employer #4 – please fill in details and do not type "See Resume"

References (if different than listed under Work Experience). **At least two references must be listed on your application and should not be people related to you.**

References (if different than listed under Work Experience). At least two references must be listed on your application and should not be people related to you.