Victoria County Application for Employment

This application should NOT be used for law enforcement positions.

If you need assistance in completing this application, please contact Human Resources at 361-578-0752. Furthermore, the County conducts pre-employment qualification testing and personal interviews in the application process. If you believe you will require reasonable accommodation (e.g. interpreter, TDD, scheduling adjustments) in the application process, please inform Human Resources in writing when you submit your application.

Full Name*

First NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

E-mail*

example@example.com

Are You a U.S. Citizen?*

YesNo

Position Applying For*

Date You Can Start*

Date

Salary Desired ($)*

Have you applied here before?*

YesNo

High School

Name of High School Attended

Number of Years Attended

Graduated?

YesNo

College

Name of College/University Attended

Number of Years Attended

Area of Study/Degree

Graduated?

YesNo

Graduate School

Name of Graduate School Attended

Number of Years Attended

Area of Study/Degree

Graduated?

YesNo

Trade School/Other

Name of Trade/Technical/Other School Attended

Number of Years Attended

Area of Study/Degree

Graduated?

YesNo

Skills

List any relevant skills

Qualifications

List any relevant certifications or qualifications

Current Employer*

Name of Current Employer or NONE if not Employed

Position*

Current Salary ($)*

Reason for Leaving?*

Start Date*

Date

May We Contact?*

YesNo

Previous Employer*

Name of Previous Employer

Position*

Previous Salary ($)*

Reason for Leaving?*

Start Date*

Date

End Date*

Date

Previous Employer*

Name of Previous Employer

Position*

Previous Salary ($)*

Reason for Leaving?*

Start Date*

Date

End Date*

Date

In compliance with the Immigration Reform and Control Act, are you legally eligible for employment in the United States.*

YesNo

Have you ever been convicted of a law violation, excluding minor traffic violations?*

YesNo

If yes, please provide date and explanation.

Do you have relatives employed by Victoria County?*

YesNo

If yes, please provide name and departments.

Law enforcement positions only (including detention and correction officers): Are you 21 years of age or older?

YesNo

Reference 1*

Name of Reference

Relationship*

Years Acquainted*

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Reference 2*

Name of Reference

Relationship*

Years Acquainted*

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Reference 3*

Name of Reference

Relationship*

Years Acquainted*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Cover Letter

Resume

By clicking the submit button below, I certify the statements and information contained herein are true, complete, and correct to the best of my knowledge and I authorize any former employer to release to this employer or its authorized representative any and all employment records and other information it may have about my employment.

I understand the information will be used for the purpose of evaluating my application for employment and that I am responsible for providing legal documents verifying my identity and eligibility for employment.

In addition, I understand, if selected for an interview, true copies of all degrees, certificates or licenses listed on this application will be required before any employment decision can be made. A photocopy of this authorization shall be as valid as the original.

I understand and agree, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time, and that intentional misrepresentation of my application or during the interview process will subject me to immediate discharge.

I also understand that only written representations and promises of this employer will be enforceable.

Date*

Date

Signature*

County of Victoria Employment Application

Personal Information:

Employment Desired:

Education:

Skills/Qualifications:

Current Employment:

Previous Employment:

Eligibility for employment:

References:

Cover Letter & Resume (Optional):

Send Application:

For Human Resources Only: