Name
Social Security #
Date
Address (Street, City, State & Zip)
Telephone Number (Home)
Email
Work Phone Number
Position Applying For:
When can you Start?
How did you learn of this opening?
If yes, give person's name, department (if applicable) and relationship to you:
The City of Los Fresnos has adopted a drug and alcohol policy to maintain a drug-free workplace. Any applicant applying for employment with the City will be required to submit to testing to screen for illegal drug use prior to employment. Employment will be contingent upon a negative drug test result.
(Conviction will not necessarily disqualify an applicant for employment.) If yes to above please describe:
Education
Name of High School
Address of High School
College's/University's #1
Name of College/University
Address of College/University
Year Graduated
Major
College's/University's #2
Name of College/University
Address of College/University
Year Graduated
Other Training /Education
List all licenses and certifications you may hold such as drivers, electricians,etc.
License/Certification #1
Number
Expiration Date
License/Certification #2
Number
Expiration Date
License/Certification #3
Number
Expiration Date
License/Certification #4
Number
Expiration Date
**************If additional licenses or certifications are help please add them to your resume and attach to this application**************
Work History
Most Resent Employer
Address
Telephone
Email
Date Started
Starting Salary
Starting Position
Date Left
Ending Salary
Ending Position
Name and Title Supervisor
Address
Telephone
Description of Duties
Reason of Leaving
__________________________________________________________________________________________________________________________________________________________________________
Previous Employer #1
Address
Telephone
Email
Date Started
Starting Salary
Starting Position
Date Left
Ending Salary
Ending Position
Name and Title Supervisor
Address
Telephone
Description of Duties
Reason of Leaving
__________________________________________________________________________________________________________________________________________________________________________
Previous Employer #2
Address
Telephone
Email
Date Started
Starting Salary
Starting Position
Date Left
Ending Salary
Ending Position
Name and Title Supervisor
Address
Telephone
Description of Duties
Reason of Leaving
__________________________________________________________________________________________________________________________________________________________________________
Previous Employer #3
Address
Telephone
Email
Date Started
Starting Salary
Starting Position
Date Left
Ending Salary
Ending Position
Name and Title Supervisor
Address
Telephone
Description of Duties
Reason of Leaving
In addition to your work history, what other experiences, skills or qualifications would especially qualify you for work with the City of Los Fresnos?
List Three Personal References other than work related.
Name of Reference
Address, City, State, Zip
Telephone
Email
Occupation
Name of Reference
Address, City, State, Zip
Telephone
Email
Occupation
Name of Reference
Address, City, State, Zip
Telephone
Email
Occupation
Person to notify in case of an emergency
Telephone #
APPLICANT’S CERTIFICATION AND AGREEMENT
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the City to make an investigation of any of the facts set forth in this application. I understand that employment at this City is “at will,” which means that either I or the City can terminate the employment relationship at any time, with or without cause or advance notice and in accordance with applicable State Law. As a condition to application for employment and continued employment, I agree to accept and confirm to the City’s procedures, guidelines and instructions.
Applicant's Signature (By Typing Your Name Here You Are Advising All Information is Correct)
Date
Submit Application