WSP02315

• File Number: 1000
• Description: CWCB General Files
• State: CO
• Date: 12/19/1949
• Title: Clifford H Stone Death 10/22/52-Application for Examination
• Water Supply Pro - Doc Type: Report/Study

IU't'Wl;AIION t'OR EXAMINATION
]

Slale Civil Service Commission 01 Colorado
'17~ ~\'V,..,\"

FILL IN ALL BLANKS BELOW J .~.,:.,. :.. !..JDO NOT FILL IN THE FOLLOWING

....._..._~_iEe:~~.?_r.'___~_?~~_.__w.:~~e::___c.~~:. '___~~_'______._ _____.. Age.__._....______...._____... _______.....Identification N 0._..._. .____.__.__
{Title (If examin:atiunj D t . d W 'tt
Mr. a e receive ________.______m_____ rl en exam.___________._____._.__.
~. . Date returned___.__.____...____...Educ. and exper._________...__.____
HlIiXi--...Gliffc..."'<l_.Ii~__Stone___......________.__________.____________.. Approved Oral exam
(Full name of applicant) --..-------.-.~---.---------.. ..h____.__.n__n__hd..nh
_V'?___13th st. ..~~~~~~~..J:l_Cl,p.<:i~r 81 Medical exam.......__.__...________
. .. .h.m(.s~~.~~~.;~d"~~b~;.~.r"R'_D'_). Military pref._______________.__..____

.____._...___.._._.BJ)_uJ.der_,___QQ~Q~adQ...________......________.__..__..-- TOTAL AVERAGE IN EXAMINATION
(City o. PO:<l: Office, County and Suer) ......_._'_____n_'"

INSTRUCTIONS TO APP1JCANTS

Read the schedule telating to this examination and mak"'e sure that
you have complied with aU the requirements and that you have
attached hereto application fee of $1.00.
Before you submit your application. see that all information called
for has been supplied. If your application is incomplete, it will be
returned to you for completion, and the delay may affect your
standing on the eligible list.
Fill out this application on the typewriter or in ink.
All statements are subject to investigation and verification.

1. What is the date of your hlrth7.....~.llJ.:!._.~.?L~~~.~..:.......___....
(Monrh, day of month, ylt3r)

2. Where were you horn 7 (a) ____1'9~.~.rJ:1Q:r;:D.....-C.9.1Q.r.<ldQ__....
(StloU or t"tTTit.ory, if Amuian born)

(h) ...._...........___......:.....____................____...._....
(Country, if foreign born)

3. Are you a citizen of the United States?______.!~.~.._________.m..............___
. (YItS or no)

Any false statement in this application will be cause for its iejec~
tion. removal of your name from the eligible list, or dismissal from
the service.

You will be notified of the time and place of examination if an as~
sembled examination is to be held.

Be sure to advise the State Civil Service Commission of any
change in your address.

Request for review of grades received in examination wiII not be
accepted unless received within five days from date appearing on
notice of rating. .

11. Will you accept employment anywhere in the State?.......~?.____.......
. (Yes or 110))

If your answer is "no," state acceptable localities...____........._...______....
__......____...__n. ....____j).El_rl.':'~r:_l....~?:l,?_......___.____.

12. Will you accept temporary appointment for six monthsL.__..N9_.....
......__.....____.....Three months? ..______NQ____.....One month L_._..N.9....____....
(Ynoc~) (~oc=) (~or~)

If not a native born citizen,
explain how and when you
acquired citizenship

13. Have you ever been discharged or forced to resign from a posi,
tiOl1?______.~_?.__....._____...
................--.---------.--......... ------.......--- (Yes Or no)

i. How long have you been a resident of Colorado?
birth date
From....__.._..____............._______._... T 0..._0............_______.........____...

5. Are you a qualified elector of Colorado?. .X_~_?.........___m.......

6. How long have you lived at your present
,treel address7........___.....J,?..Yg!lX~..___..__h..................._ .____...._.......
Present dty7___....J:l()_~<:i<;!!:'..._m____...County7......J:l<:>'4.~.El:r:

Pre,ent StateL..........._gg),.9.r'14Q..

7, Marital Status:
Divorced (

Single ( )
) Separated

Widowed (

Married ( xl

8. What is your height without shoes?._.....$....____feet.......__~.___.inches

9. What is your weight without overcoat?..__..~7.9.....m__:_n......pounds

10. Are you in good phYSical condition. free from any physical defect.
and fully capable of performing the duties of the position for
which you are applying?___...._______...J.~.~.._........m.__.__......_____........_
(Ye5 or no)
Describe fully any physical defects or disabilities you may have__..

If your answer is "yes," give name and address df employer, date
of your discharge or forced resignation. and the reasons therefor

14. Have you any objection to the State Civil Service Commission
making inquiry of your present employer regarding your charac~
ter. qualifications, etc.?......__ No
.... .--i--.' .---.. "Ty~~' .~~-~~.).. on.. .---. ....- -----.......

15. Do you have an application on file with the Civil Service Com~
mission at the present timeL.....__...N'.9.....___ .. .____..______......_....
. lYe, or no)

If your answer is "yes," give titl~ of examination or examinations.

.....----......,--.-- .---...--...--.
,

...r...-- ._.____..._____0__
,
16. Do you claim military prefercnce?...____X~.~....m._.__
(Ye5Or nc)

I

Give dates of your enlistment and discharge.____...____ .........._____.

Certjfied or photostatic copy of discharge must ac.company appli~
c.ation if Veteran Preference is claimed.

Tbe fonn below will be mailed to you if you are found to be eligible for examination. PLACE ONt Y YOUR NAME AND ADDRESS ON ]T.

. DO NOT DETACH