Online Employment Application

*All Palmview Police Department applicants MUST complete a TCOLE Personal History Statement.

The City of Palmview is an equal opportunity employer. Applicants will be considered regardless of race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status. Equal access to the hiring process, services, and employment is available to all individuals. Applicants who require accommodations to the application and/or interview process should contact the Human Resource Department.

Each question should be answered completely and accurately.

No action will be taken on this application until all questions have been answered and the application has been signed and dated. Verification of eligibility to work in the U.S. will be required if an employment offer is made.

Step 1 of 6

Name * Required
First Middle Last
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number * Required
Email * Required
Enter Email Confirm Email
Are you over the age of 18? * Required
- Yes
- No
Are you eligible to work in the United States? * Required
- Yes
- No
Have you been convicted of a felony/misdemeanor (other than traffic violations)?* * Required
- Yes
- No
If yes, give details, including date(s):
* A “yes” answer will not automatically disqualify you from employment. We will consider the nature and date of the offense and the job for which you are applying for job-related purposes only, and only to the extent permitted by applicable law.
Are you related by blood or marriage to any member of the Palmview City Commission or current city employee? * Required
- Yes
- No
If yes, please identify below:
If yes, please identify below:
Name Relation Position

Employment History
Beginning with your present or most recent experience, account for all employment during the past ten (10) years. To elaborate, a supplemental sheet or resume may be attached, but cannot be substituted for a completed application. Include military service if applicable.
1. Employer (Most current)
Name of Employer Position Held
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Final Pay:
Hourly or Salary
May we contact this employer?
- Yes
- No
Supervisor's Name & Title
Description of Duties:
Reason for leaving:
2. Employer (Second most recent)
Name of Employer Position Held
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Final Pay:
Hourly or Salary
May we contact this employer?
- Yes
- No
Supervisor's Name & Title
Description of Duties:
Reason for leaving:
3. Employer (Third most recent)
Name of Employer Position Held
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Final Pay:
Hourly or Salary
May we contact this employer?
- Yes
- No
Supervisor's Name & Title
Description of Duties:
Reason for leaving:
4. Employer (Fourth most recent)
Name of Employer Position Held
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Final Pay:
Hourly or Salary
May we contact this employer?
- Yes
- No
Supervisor's Name & Title
Description of Duties:
Reason for leaving:
Cover Letter
Max. file size: 25 MB.
Please attach your cover letter
Resume
Max. file size: 25 MB.
Please attach your resume

Authorization
By entering your name, you agree to accept the terms of the document below with an electronic signature. * Required
I acknowledge that the City of Palmview is not extending a formal employment offer at this time. I certify that all the information provided in this application is accurate to the best of my knowledge. I understand that any misrepresentation or omission of facts in my application, resume, or during interviews could result in disqualification from consideration for employment or, if already employed, termination.

I grant the City of Palmview the authority to contact any company, institution, or individual it deems relevant to investigate my employment history, character, qualifications, credit history, driving record, and other pertinent information related to the job. I provide my full consent for all contacted individuals, including former employers, to disclose information concerning this application. I waive any right to initiate legal action against these individuals for any liability stemming from providing requested information to the City of Palmview. I understand that a facsimile or photocopy of this form is equally valid as the original.

Please be aware that pre-employment assessments, which may include drug tests, background checks, physical examinations, and motor vehicle checks, may be required. The cost of these tests may be borne by the applicant or the employer, depending on the circumstances. I comprehend that any employment offer may be withdrawn if drug tests return positive or if a condition is discovered for which reasonable accommodation cannot be provided.

I acknowledge that this application remains valid for a period of 60 days. At the end of this period, if I have not received communication from the City of Palmview and still wish to be considered for employment, I will be required to submit a new application.

I understand that, if hired, my employment is at-will, irrespective of the employer, and can be terminated by myself, the employer, or the City of Palmview at any time, with or without cause, and with or without notice, for any reason or without reason.
I agree
Type Signature * Required
Today's Date * Required
Month
Day
Year

Online Employment Application

Each question should be answered completely and accurately.

Step 1 of 6

Position Desired

Education

Employment History

References

Authorization

Name	Relation	Position

Name of High School	Graduated? (Yes or No)

Name of College/University	Graduated? (Yes or No)	Course of Study

Name of Technical School	Graduated? (Yes or No)	Course of Study