Fillable Printable Adobe PDF Format - New Mexico State Judiciary
Fillable Printable Adobe PDF Format - New Mexico State Judiciary
Adobe PDF Format - New Mexico State Judiciary
NEW MEXICO JUDICIAL BRANCH
APPLICATION FOR EMPLOYMENT
New Mexico Judicial Branch
Application For Employment
Dev: 1997; Rev 9/18/09, Rev 5/18/10
1
INSTRUCTIONS
If you require special accommodations to complete this application, call (505) 827-4810
Application form must be typed or printed legibly using black or blue ink.
An application: will be accepted only for current advertised vacancies; must be submitted for each advertised vacancy applied for; in order
to be considered, must be received by the closing date and time posted in the advertisement.
Give complete employment information on application. Attach additional sheets if necessary.
Dates of employment must show both the month and year.
Any diplomas, certificates and/or licenses required for the position must be attached.
The completion of this application represents your ability to follow directions and provide written communication.
An incomplete application and/or lack of appropriate education, licensure or training attachments required for the vacant position will
disqualify the applicant.
Incomplete or illegible applications will not be processed.
Use exact New Mexico Judicial Branch job title from the vacancy announcement.
Sign and date the application and keep a copy for yourself.
Return completed application to the Judicial entity to which you are applying as specified in the position announcement.
Use this application to demonstrate how your education, training and experience are relevant to the requirements of the job for which you
are applying.
Position Applied For: Court/Agency Location: Closing Date:
Applying for:
_____ Full Time _____ 3/4 Time _____ 1/2 Time _____Split Shift (day/evening)
_____Graveyard _____ Weekends/Holidays _____ Temporary/Seasonal
If part-time, list days and hours available: ____________________________________________.
DATE AVAILABLE FOR WORK
______________________
PERSONAL DATA
LAST NAME FIRST MIDDLE Social Security #:
Disclosure of Social Security
number is optional.
CONTACT
INFORMATION
Cell Phone Work Phone Home Phone E-Mail Address:
ADDRESS CITY STATE ZIP CODE
DO YOU POSSESS A VALID DRIVER’S LICENSE? YES NO
Driver’s License #: _____________________________ State: ____________________ Expiration Date: __________________
NEW MEXICO JUDICIAL BRANCH
APPLICATION FOR EMPLOYMENT
New Mexico Judicial Branch
Application For Employment
Dev: 1997; Rev 9/18/09, Rev 5/18/10
2
OFFER OF EMPLOYMENT IS CONTINGENT UPON SATISFACTORY PROOF OF IDENTITY AND LEGAL ABILITY TO WORK IN THE USA.
ARE YOU LEGALLY AUTHORIZED TO WORK IN THE UNITED STATES OF AMERICA? YES NO
VISA TYPE (If applicable): _______________________________________________VISA # __________________________
HAVE YOU HAD PRIOR NEW MEXICO JUDICIAL BRANCH EMPLOYMENT? YES NO
If yes, indicate dates, location and position.
If you have a domestic partner, spouse, family members and/or household members who are employed by the New Mexico Judicial
Branch, please list their names and relationship(s) to you.
EDUCATION AND TRAINING*
HIGH SCHOOL/
G.E.D.
EQUIVALENCY
_____YES
_____ NO
IF NO, INDICATE HIGHEST GRADE
COMPLETED
COLLEGE/
UNIVERSITY
_____YES
_____ NO
MAJOR
DEGREE
OTHER
SCHOOL(S) OR
TRAINING
FIELD OF STUDY:
* A copy of relevant transcripts, degrees or diplomas must be attached.
LIST ALL SPECIAL JOB SKILLS OR QUALIFICATIONS YOU CONSIDER RELEVANT TO THE POSITION FOR WHICH YOU ARE
APPLYING.
NEW MEXICO JUDICIAL BRANCH
APPLICATION FOR EMPLOYMENT
New Mexico Judicial Branch
Application For Employment
Dev: 1997; Rev 9/18/09, Rev 5/18/10
3
EMPLOYMENT HISTORY
PLEASE DESCRIBE YOUR EMPLOYMENT EXPERIENCE STARTING WITH YOUR MOST RECENT POSITION. INCLUDE ANY
RELEVANT VOLUNTEER WORK. IF YOU NEED ADDITIONAL SPACE, CONTINUE ON A SUPPLEMENTAL SHEET AND ATTACH
IT TO THE APPLICATION.
NAME OF EMPLOYER
ADDRESS (CITY, STATE)
SUPERVISOR’S NAME SUPERVISOR’S TELEPHONE
NUMBER
MAY WE CONTACT THIS
EMPLOYER?
YES NO
YOUR JOB TITLE FROM: MO./YR. TO: MO./YR. STARTING
SALARY
PRESENT/FINAL
SALARY
CHECK ONE:
FULL TIME PART TIME
HOURS PER WEEK:
NUMBER OF EMPLOYEES
SUPERVISED:
MAJOR RESPONSIBILITIES, DUTIES AND EXPERIENCE:
REASON FOR SEPARATION:
1
NEW MEXICO JUDICIAL BRANCH
APPLICATION FOR EMPLOYMENT
New Mexico Judicial Branch
Application For Employment
Dev: 1997; Rev 9/18/09, Rev 5/18/10
4
NAME OF EMPLOYER
ADDRESS (CITY, STATE)
SUPERVISOR’S NAME SUPERVISOR’S TELEPHONE
NUMBER
MAY WE CONTACT THIS
EMPLOYER?
YES NO
YOUR JOB TITLE FROM: MO./YR. TO: MO./YR. STARTING
SALARY
FINAL SALARY
CHECK ONE:
FULL TIME PART TIME
HOURS PER WEEK:
NUMBER OF EMPLOYEES
SUPERVISED:
MAJOR RESPONSIBILITIES, DUTIES AND EXPERIENCE:
REASON FOR SEPARATION:
2
NAME OF EMPLOYER
ADDRESS (CITY, STATE)
SUPERVISOR’S NAME SUPERVISOR’S TELEPHONE
NUMBER
MAY WE CONTACT THIS
EMPLOYER?
YES NO
YOUR JOB TITLE FROM: MO./YR. TO: MO./YR. STARTING
SALARY
FINAL SALARY
CHECK ONE:
FULL TIME PART TIME
HOURS PER WEEK:
NUMBER OF EMPLOYEES
SUPERVISED:
MAJOR RESPONSIBILITIES, DUTIES AND EXPERIENCE:
REASON FOR SEPARATION:
3
NEW MEXICO JUDICIAL BRANCH
APPLICATION FOR EMPLOYMENT
New Mexico Judicial Branch
Application For Employment
Dev: 1997; Rev 9/18/09, Rev 5/18/10
5
REFERENCES
LIST THREE (3) PEOPLE WHO ARE NOT PREVIOUS EMPLOYERS WHO ARE FAMILIAR WITH YOUR WORK.
NAME
ADDRESS
TELEPHONE
NUMBER
PROFESSIONAL
RELATIONSHIP
YEARS
KNOWN
PLEASE READ CAREFULLY AND INDICATE YOUR UNDERSTANDING
AND ACCEPTANCE BY SIGNING BELOW
1. I certify that all statements, information and documents provided by me in connection with my application are true, complete and
correct to the best of my knowledge and are submitted in good faith.
2. I understand any false statements, omissions or misrepresentations contained in this application or provided in the interview process
may disqualify me for employment consideration or may be cause for termination if hired.
3. I authorize any persons or organizations referenced in this application to give you any and all information concerning my previous
employment, education, or any other pertinent information they might have, personal or otherwise, with regard to any of the subjects
covered in this application, and I release all such parties from all liability for any damages which may result from furnishing such
information to you.
4. I hereby authorize the courts to conduct a thorough background check including but not limited to references, employment records,
credit checks, criminal convictions and record. I understand that such background checks will be made only upon final selectio n for
hire and that all information will be kept confidential and released only to authorized individuals.
5. I understand that once my application is submitted it becomes a matter of public record.
6. I understand that disclosure of my social security number (SSN) is optional. The agency to which I am applying may use my SSN
for administrative tracking purposes and for identification.
Applicant’s Signature Date
THE NEW MEXICO JUDICIAL BRANCH IS AN EQUAL OPPORTUNITY EMPLOYER
NEW MEXICO JUDICIAL BRANCH
APPLICATION FOR EMPLOYMENT
New Mexico Judicial Branch
Application For Employment
Dev: 1997; Rev 9/18/09, Rev 5/18/10
6
Employment History – Additional Sheet(s)
NAME OF EMPLOYER
ADDRESS (CITY, STATE)
SUPERVISOR’S NAME SUPERVISOR’S TELEPHONE
NUMBER
MAY WE CONTACT THIS
EMPLOYER?
YES NO
YOUR JOB TITLE FROM: MO./YR. TO: MO./YR. STARTING
SALARY
FINAL SALARY
CHECK ONE:
FULL TIME PART TIME
HOURS PER WEEK:
NUMBER OF EMPLOYEES
SUPERVISED:
MAJOR RESPONSIBILITIES, DUTIES AND EXPERIENCE:
REASON FOR SEPARATION:
NAME OF EMPLOYER
ADDRESS (CITY, STATE)
SUPERVISOR’S NAME SUPERVISOR’S TELEPHONE
NUMBER
MAY WE CONTACT THIS
EMPLOYER?
YES NO
YOUR JOB TITLE FROM: MO./YR. TO: MO./YR. STARTING
SALARY
FINAL SALARY
CHECK ONE:
FULL TIME PART TIME
HOURS PER WEEK:
NUMBER OF EMPLOYEES
SUPERVISED:
MAJOR RESPONSIBILITIES, DUTIES AND EXPERIENCE:
REASON FOR SEPARATION:
