Fillable APPLICATION FOR EMPLOYMENT (Texas Secretary of State)

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APPLICATION FOR EMPLOYMENT (Texas Secretary of State)

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The APPLICATION FOR EMPLOYMENT (Texas Secretary of State) form is 2 pages long and contains:

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  • 16 check-boxes
  • 73 other fields

Country of origin: US
File type: PDF

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APPLICATION FOR EMPLOYMENT
1
NAVARRO COUNTY, TEXAS
APPLICANT INFORMATION
Last Name
First
M.I.
Date
Street Address
Apartment/Unit #
City
State
Phone
E-mail Address
Date Available
Social Security No.
Desired Salary
$
Position Applied for
Are you authorized to work lawfully in the
United States for Navarro County?
YES
NO
Have you ever worked for this company?
YES
NO
If so, when?
Have you ever been convicted of a felony?
YES
NO
If yes, explain
EDUCATION
High School
Address
From
To
Did you
graduate?
YES
NO
Degree
College
Address
From
To
Did you
graduate?
YES
NO
Degree
Other
Address
From
To
Did you
graduate?
YES
NO
Degree
REFERENCES
Please list references that we may contact
Full Name
Relationship
Address
Phone
Full Name
Relationship
Address
Phone
Full Name
Relationship
Address
Phone
APPLICATION FOR EMPLOYMENT
2
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Ending Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Ending Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
MILITARY SERVICE
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
I understand employment with Navarro County is “at will” based on the needs of the business. There is no contract assumed, expressed or
implied of continued employment between Navarro County and employees.
Navarro County provides equal employment opportunities (EEO) to all employees and applicants for employment without
regard to race, color, religion, sex national origin, age, disability or genetics.
Signature
Date
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APPLICATION FOR EMPLOYMENT (Texas Secretary of State)

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Completed 11 August 2020

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