Official Website of Beeville, Texas - City of Beeville Job Application

Employer City of Beeville

SECTION 1 - APPLICANT INFORMATION

*Name (Last, First, Middle)

*Street Address and/or Mailing Address

*City

*State

*Zip Code

*Primary Phone Number

Email Address

SECTION 2 - POSITION INFORMATION

*Position Applying For

*Date You Can Start Working

Salary Desired

*Employment Type Desired

*Have you previously applied or been employed by this agency?

if yes please list dates and position and department

SECTION 3 - EMPLOYMENT ELIGIBILITY

*Are you legally authorized to work in the U.S. on an unrestricted basis

Yes

*Are you 18 years of age or older?

Yes

Veteran Status

*Do you have a valid Driver's License?

Yes

IF Yes, enter Driver's License Number, State of Issue and License Class/Type

*Can you complete these essential job functions with or without reasonable accommodation?

Yes

List accomodations if needed.

SECTION 4 - EDUCATION HISTORY: Please list any education such as schools, colleges, degrees, vocational or technical programs, and military training.

*Level of Education

High School / GED

College / University

Graduate / Post Graduate

Trade or Technical School

*Enter School(s) Name, City, State, Graduated Date, Degree/Diploma, Major or Field of Study

SPECIAL SKILLS List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.

List any Certifications, Licenses, or Professional Designations - Provide Certification/License name, Issuing Organization, Date issues, and Expiration Date

List languages you know followed by a clear proficiency level. (Speak, Read, or Write)

SECTION 5 - EMPLOYMENT HISTORY: Start with your present or most recent employment and work back.

EMPLOYER # 1

Employer/Company Name

Job Title / Position

City

State

Start Date / From

Date to:

Supervisor's Name

Supervisor's Phone

Starting Salary / Payrate

Duties and Responsibliies

Reason for leaving:

May we contact this employer?

Employe # 2

Employer / Company Name

Job Title / Position

City

State

Date From

Date To:

Supervisor's Name

Supervisor's Phone

Starting Salary / Pay Rate

Duties and Responsiblities

Reason for Leaving:

May we contact this employer?

SECTION 6 - REFERENCES Please list three professional references not related to you, If you don’t have three professional references, then list personal, unrelated references

*Please provide Full Name, Organization / Employer, Relationship to Application , Phone Number, Email Address

Section 7 - BACKGROUND INFORMATION

*Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)

Yes

If yes, provide offense, dates, location and disposition:

Are you currently on parole or probation?

Yes

Have you ever been dismissed, asked to resign, or left employment under adverse conditions?

Yes

If yes, please explain

Have you ever been found guilty of misconduct of in any professional or public service role?

Yes

If yes, please explain

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.

*Applicant Signature

*Date: (mo/day/yr)

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