Job application

Human Resources applications

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Date * Required
MM
DD
YYYY
Position Applying to * Required
Applicant Information
Name * Required
First Middle Last Suffix
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email * Required
Phone * Required
Social security number * Required
Are you at least 18 years old? * Required
- Yes
- No
Job Type
- Full Time
- Part Time
Are you legally eligible to work in the United ? * Required
- Yes
- No
Do you have a valid driver license? * Required
- Yes
- No
If the position you are applying for requires operation of a motor vehicle, list any traffic violations you have incurred during the past 5 years.
Have you ever applied or been employed by the City of Palmview? * Required
- Yes
- No
Date you can start? - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Education
Name of School # of Years Completed Major or Degree
Special Skills or Qualifications
List any other skills
Previous Employment
Employer Name
First
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Last Job Title * Required
Salary * Required
Supervisor Name
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.
Reason for leaving (Be specific)
References
Name E-mail Telephone #

Please list any references other than relatives.
Resume
Please attach your resume
Cover Letter
Please attach your cover letter
Consent * Required
***Applicant Please Read the Following Carefully***

Note: A Criminal Background Check and Drug Test will be conducted on all prospective employment applicants and other volunteer
placements. A criminal record does not constitute an absolute bar to employment factors such as age at the time of the offense;
rehabilitation efforts, how recent and seriousness of the crime will be taken into account.

CERTIFICATION
I hereby certify that answers given herein are true and complete to the best of my knowledge and agree that if employed, any
misrepresentation, falsification or omission of facts thereon shall justify my dismissal. I hereby authorize the City of Palmview to fully
investigate my record and work qualifications either before or after my employment by the City of Palmview and to facilitate such
investigation, I also hereby authorize any persons, office, agency or source, having information and knowledge about my
personal, employment, military, educational, driving record, criminal, credit or financial history; prior work related injury
information, physical screening, drug screening and other related matters as may be necessary in arriving at an employment
decision to furnish and release such information to the City of Palmview. I hereby release employers, schools, agencies, or persons
from all liability in responding to inquiries in connection with my application. In submitting this application, I understand that it
becomes the property of the City of Palmview and will not be returned or altered by City staff. I hereby understand and
acknowledge that, any employment relationship with the City if of an “at will” nature, which means any employee may be removed by
the City Manager, by the head of a department or by other appointing office at any time in accordance with applicable law.
I agree

Name of School	# of Years Completed	Major or Degree

Name	E-mail	Telephone #

Documents and forms

Job application

Applicant Information

Education

Previous Employment

References