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  • Independence Village

    Employment Application
  • The Independence Village is an Equal Opportunity Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications and without regard to race, color, national origin, sex, religion, age, disability or any other legally protected status.

  • Application Information

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  • Education

  • Skills

  • Military Service

  • Previous Employment

  • References

    Please list three professional references.
  • Disclaimer and Signature

  • PLEASE READ CAREFULLLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.

    I certify that the information on this application and its supporting documents is accurate and complete. I understand that any misstatement, falsification, or omission of information may be grounds for refusal to hire or, if hired, termination. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability from any damages which may result from furnishing such information to you. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. I understand that I am required to abide by all rules and regulations of the Employer.

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  • Pre-Employment Drug Screen Consent

  • I understand that the Independence Village is a drug free workplace and I hereby voluntarily consent for a urine or hair sample to be collected from me and submitted for a drug screening test. Further, I consent to the release of the test results for confidential review and use in determining my suitability for employment. I understand that any positive test results may preclude my employment.

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  • Criminal Background Check Form

  • Independence Village - Human Resources

    With few exceptions, you are entitled on your request to be informed about the information Independence Village collects about you. Under sections 552.023 of the Texas Government Code, you are entitled to receive and review the information. Under Section 559.004 of the Texas Government Code, you are entitled to have Independence Village correct information about you that is held by us and is incorrect. The information that Independence Village collects will be retained and maintained as required by Texas records retention laws (Section 441.180 et seq. of the Texas Government Code) and rules. Different types of information are kept for different periods of time.

    THIS SECTION TO BE COMPLETED BY APPLICANT/VOLUNTEER

    IMPORTANT: Fill out all information requested. If not applicable, enter N/A. Falsification of any information on this form will void your application for employment and any actions based on it. The information on the Application for Employment, including attachments, is the property of Independence Village.

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  • CONVICTION IS NOT AN AUTOMATIC BAR TO EMPLOYMENT - ALL CIRCUMSTANCES WILL BE CONSIDERED

    I hereby authorize any law enforcement agency to furnish Independence Village information related to my criminal history. I hereby release Independence Village and employees, the law enforcement agency, and all employees of law enforcement agencies furnishing information from all liability resulting from furnishing of this information to Independence Village. I certify the statements made by me on this form are true, and complete and correct to the best of my knowledge and belief and are made in good faith. If circumstances require that an offer be made before the completion of an investigation, the offer is contingent on the completion of a satisfactory criminal background investigation. I understand that any false statements made herein will void my Application for Employment or Volunteerism and any actions based on it.

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