Transfer Request and Application Form

Please accurately and thoroughly complete the requested information and submit the following transfer request and application to confidentiality submit your transfer interest. Please note by submitting this form you are not automatically entitled to any open positions in the districts you marked, and you may not be interviewed or hired. A competitive process for filling positions may be necessary and positions may be filled with external candidates. In addition, please note that districts may choose to post the position externally at any time.

Please submit the completed form as an attachment to the following email address:

Demographic Data
Phone Number: ( ) ( ) ( ) Email:
Home Work Cell
Current Judicial District Current FTE Percentage
Current Position Title (i.e. Probation Officer, Support Staff, etc.)
Current Employee Type: Classified Grant Contract Contract
*Only certified employees within the classified system are eligible for transfers
Check all Districts in which you might be interested:
1P / 2Adult / 2Juvenile / 3P / 4P / 5P
6P / 7P / 8P / 9P / 10P / 11P
12P / 13P / 14P / 15P / 16P / 17P
18P / 19P / 20P / 21P / 22P
Check all employment types in which you may be interested:
FTE / Part-time (% of FTE) / Grant Contract
Personal Data
For any of the following questions that you answer “YES” please explain and provide detailed information under “Additional Data” on page 4 of this Application.
1. / Yes No Have you ever been convicted of, or are you now under indictment for any felony or misdemeanor
or traffic or petty offense involving drugs or alcohol?
2. / Yes No Have you ever been fired, forced or asked to resign from a job?
3. / Yes No Have you ever received a corrective and/or disciplinary action from an employer?
Education and Training
If the position you applied for requires a college degree, a transcript of your college credits may be requested prior to an offer of employment.
Highest Grade Completed:
Name and location of last high school attended:
(City and State)
Did you graduate from high school or receive a GED? Yes No
If you received a GED, what is the GED certificate number? Issued by:
University / College
Undergraduate, Graduate, Post Graduate
Name / Location / Attended From – To (Month/Year)
Degree Awarded / Date / Major Field of Study / Minor Field of Study / Completed Semester / Quarter Hrs (circle one)
Military Service Data (a DD214 form may be required)
Have you ever served on active duty in the U.S. Armed Forces? Yes No
Military Service Data (continued)
Dates: From to / Branch:
Primary Duties:
Veteran / Vietnam Era Veteran
Disabled Veteran / Disabled Vietnam Era Veteran
Unremarried Surviving Spouse
Employment History
List jobs in reverse order, starting with your present or most recent job. Describe the positions you held to give a clear picture of the duties you have performed. List your last ten years of employment history, including part-time, temporary, and volunteer work. List each promotion as a separate job. To evaluate your qualifications, we must have accurate and complete information about previous job duties, tasks and levels of responsibility. DO NOT SUBSTITUTE A RESUME FOR THIS PART OF THE APPLICATION.
Employer / Job Title / Dates of Employment
From Month / Year
Address (Street, City, State, Zip Code) / To Month / Year
Supervisor Name / Supervisor Title / Telephone Number
( )
Duties / Hours per Week
Beginning Monthly Salary
Ending Monthly Salary
Reason for Leaving / Number of Employees You Supervised
Employer / Job Title / Dates of Employment
From Month / Year
Address (Street, City, State, Zip Code) / To Month / Year
Supervisor Name / Supervisor Title / Telephone Number
( )
Duties / Hours per Week
Beginning Monthly Salary
Ending Monthly Salary
Reason for Leaving / Number of Employees You Supervised
Employer / Job Title / Dates of Employment
From Month / Year
Address (Street, City, State, Zip Code) / To Month / Year
Supervisor Name / Supervisor Title / Telephone Number
( )
Duties / Hours per Week
Beginning Monthly Salary
Ending Monthly Salary
Reason for Leaving / Number of Employees You Supervised
Application Certification
I certify that I possess the experience, education, and/or licenses required for the position I am applying for. 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 any false statements, omissions, or misrepresentations contained in this application or provided in the interview process or related correspondence may disqualify me for employment consideration. Should an investigation at any time disclose any falsification, omission, or misrepresentation as to the same, said disclosure may be grounds for immediate termination of employment. I herby consent to the release of information by employers, schools, law enforcement agencies, and other authorized personnel to verify the information contained in this application.
By checking this box and submitting this information electronically, I certify the information submitted is correct.
______
Name / Date

Thank you for your interest in an employment transfer with the Colorado Judicial Probation Department.

We are an Equal Opportunity Employer

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