Employment Application Form

Employment Application

Fill the form below accurately indicating your potentials and suitability to the job applying for.
Name*

First NameMiddle NameLast Name
Position Applying for*
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Available*

MonthDayYear
Date
Social Security Number*
Driver's License Number*
State Issued:*
Are you a Citizen of the United States?*
If no, are you authorized to work in the U.S.?
Have you ever worked for the City of Tool before?*
If Yes, when?

MonthDayYear
Date
Emergency Contact
Emergency Contact Name:*
Relationship:*
Emergency Contact Address*
Phone Number*
Please enter a valid phone number.
Education
High School*
City & State*
Dates Attended?*
Dates From / To
Did you Graduate?*
College or Trade School Name
City & State
Dates Attended?
Dates From / To
Did you Graduate?
Type of Degree
College or Trade School Attended
City & State
Dates Attended
Dates From / To
Did you Graduate?
Type of Degree
Military History
Military Experience or Branch
Dates of Service
Dates From / To
Discharge Rank
Discharge Type
If other than honorable, please explain
Legal Background Record
Have you ever been charged or convicted of a crime greater than a class C misdemeanor?*
Do you have a pending conviction?*
If yes, What was or is the charge?
Is or has your driver's license ever been suspended or revoked?*
Is your license pending a suspension or revoked?*
If yes, please explain why?
Software Experience
Microsoft Windows Experience
Microsoft Word Experience
Microsoft Excel Experience
Microsoft Outlook Experience
Quickbooks Experience
Other Software Experience
Special Certifications
Special Skills
Upload Resume and Applicable Files

Cancelof
Training & Certificates
Enter all Trainings and Certifications
References

Please list three (3) references that are familiar with your work life.
Reference*
Reference*
Reference*
Previous Employment

List the prior three (3) companies you worked for.
Company Name*
Company Phone Number*
Please enter a valid phone number.
Supervisor*
Supervisor Phone Number*
Please enter a valid phone number.
May we contact your previous supervisor for a reference?*
Address*
Title*
Dates Employed*
Dates: From / To
Starting Salary*
Ending Salary*
Reason for Leaving*
Responsibilities*
Company Name*
Company Phone Number*
Please enter a valid phone number.
Supervisor*
Supervisor Phone*
Please enter a valid phone number.
May we contact your previous supervisor as a reference?*
Address*
Title*
Dates Employed
Dates: From / To
Starting Salary*
Ending Salary*
Reason for Leaving*
Responsibilities*
Company Name*
Company Phone Number*
Please enter a valid phone number.
Supervisor*
Supervisor Phone Number*
Please enter a valid phone number.
May we contact your previous supervisor for a reference?*
Address*
Title*
Dates Employed:*
Dates: From / To
Starting Salary*
Ending Salary*
Reason for Leaving*
Responsibilities*
Disclaimer and Signature

I certify that my answers ar true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I also understand that failure to complete any portion of this application may eliminate me from further consideration.

I understand that the information provided will be investigated and in doing so I, the applicant, release the employer, being the City of Tool from any and all liability.

I understand that this application is not an employment agreement and that no employment is being offered to me in this application. However, if I am employed with The City of Tool, I understand that my relationship with The City of Tool will be governed by the "AT-WILL" doctrine. Through that doctrine, I understand that The City of Tool is allowed to change my wages, benefits, terminate my employment and other conditions of my appointment at any time. I also understand that through this doctrine and I may terminate my job with The City of Tool at any time for any reason.

All potential employees are subject to a drug screen and depending on the position a driving record check, criminal history review, reference check and any other background checks pertaining to the applicant.

The City of Tool is an equal opportunity employer.

Please note: All applicants for Police Officer postions must be TCLEOSE Licensed, 21 years of age and must read and write English.
Printed Name*
Date*

MonthDayYear
Date
Signature

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Voluntary Self-Identification

The City of Tool is committed to a policy of equal employment oppourtunity. The following information is requested for the Human Resources Office use only in order to assist us in complying with EEO reporting guidelines. Completion of this form is voluntary and will not affect your oppourtunity for employment, or the terms or conditions of your employment. If you choose not to self-identify your race/ethnicity at this time, the federal government requires The City of Tool to determine this information by visual survey and/or other available information.
Name

First NameLast Name
Gender
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Race / Ethnicity
Veteran Status
How did you hear about this?
Definitions for Racial and Ethnic Catergories

American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Island, Thailand, and Vietnam.

Black or African American. A person having origins in any of the Black racial groups of Africa. Terms such as "Haitian" or "Negro" can be used in addition to "Black or African American."

Hispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. The term, "Spanish origin," can be used in addition to "Hispanic or Latino."

Native Hawaiian or other Pacific Islander. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White. A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
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