Bids

CITY OF LOS FRESNOS

520 E. OCEAN BLVD.
LOS FRESNOS, TX 78566
(956) 233-5758 FAX: (956) 233-9879

APPLICATION FOR EMPLOYMENT

The City strives to comply with state and federal laws regarding discrimination based on race, age, creed, color, sex, religion, national origin, disability, political affiliation or veteran status.

Name

Social Security #

Date

Address (Street, City, State & Zip)

Telephone Number (Home)

Work Phone Number

Position Applying For:

When can you Start?

How did you learn of this opening?

Are you 18 years old?

Yes No

Are you authorized to work in the United States on an unrestricted basis?

Yes No

Have you worked here before?

Yes No

Are you related to any elected official or any employee of the City?

Yes No

If yes, give person's name, department (if applicable) and relationship to you:

Have you been told the essential functions of the job or have you been shown the job description listing the essential functions of the job?

Yes No

Can you perform these essential functions with or without reasonable accommodations?

Yes No

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.

Will you submit to a drug testing?

Yes No

Have you ever been convicted of any crime?

Yes No

(Conviction will not necessarily disqualify an applicant for employment.) If yes to above please describe:

Education

Name of High School

Address of High School

Diploma

Yes No

GED

Yes No N/A

College's/University's #1

Name of College/University

Address of College/University

Year Graduated

Major

Did you receive Diploma/Degree

Yes No

College's/University's #2

Name of College/University

Address of College/University

Year Graduated

Did you receive Diploma/Degree

Yes No

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

May we contact your present employer?

Yes No

Most Resent Employer

Address

Telephone

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

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

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

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

Occupation

Name of Reference

Address, City, State, Zip

Telephone

Occupation

Name of Reference

Address, City, State, Zip

Telephone

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