Fillable BRAZOS COUNTY EMPLOYMENT APPLICATION (Brazos County, Texas)

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BRAZOS COUNTY EMPLOYMENT APPLICATION (Brazos County, Texas)

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The BRAZOS COUNTY EMPLOYMENT APPLICATION (Brazos County, Texas) form is 4 pages long and contains:

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  • 27 check-boxes
  • 97 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Brazos County, Texas

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BRAZOS COUNTY
EMPLOYMENT APPLICATION
AN EQUAL OPPORTUNITY EMPLOYER (M/F/D/V)
Human Resources Dept.
200 S. Texas Ave., Suite 206
Bryan, Texas 77803
(979) 361-4114 | (979) 823-6993 (fax)
INSTRUCTIONS: All applications for employment with Brazos County must be made on this form. Consider each question carefully. YOU MUST ANSWER ALL QUESTIONS.
If a question is not applicable, enter "N/A". Please print legibly. Resumes will be accepted as additional information, but not in place of a completed application.
Please note: This form has fillable fields, but the edits you make will NOT be saved. Please be sure the document has successfully printed for submission before leaving this form!
Be sure that the HUMAN RESOURCES DEPARTMENT receives your completed application. For more detailed instructions please click here
.
Last Name First Name Initial Social Security Number
Position Desired Today's Date (mm/dd/yyyy)
Street Address City State Zip
Area Code Number
Phone
Number:
State
Drivers License Number:
(If job you're applying for requires one)
Number
YES NO Please attach additional information, if needed, to answer details of the following questions.
Can you submit proof age, if hired? All applicants must be at least 18 years of age (21 if applying for a deputy sheriff position).
Have you ever been convicted of a felony? If YES, give details:
Are you legally eligible to work in the U.S.? (Verification will be required if hired).
Are you related by blood or marriage to any BRAZOS COUNTY employee/official? If YES, give name and relationship:
Have you previously been employed by Brazos County? If YES answer the following: When:
Position: Reason for leaving:
Are you currently employed? May we contact your current employer?
Have you made an application before? If YES, when:
Date available to begin work: Starting salary desired:
EDUCATION
High
School
College
College
High
School
Name and Location
Major
Subjects
No. of Years
Completed
DIPLOMA
Degree
Other (Trade, business,
or professional school):
Other course work applicable
to this type of work:
U.S. MILITARY SERVICE
Number of years served: Branch of Service: Rank at discharge:
Duties:
Do you anticipate any active duty, including reserve training, in the future?
Are you a member of the National Guard or Reserve?
YES NO
Active
Inactive
Rev. 09/2015
Print Form
(1) Present or most recent employer
Street Address City State Zip
PREVIOUS EMPLOYMENT
Start with your present or most recent job (including military service). Provide employer information for the last 10 Years and any other
work history you feel is relevant. Attach additional sheets, or extra copies of this page if necessary.
Phone
Number:
Area Code Number
Job Title Supervisor's Name
Dates Employed
From: To:
Starting Salary
Final Salary
Reason for Leaving
Your Duties
(2) Present or most recent employer
Street Address City State Zip
Phone
Number:
Area Code Number
Job Title Supervisor's Name
Dates Employed
From: To:
Starting Salary
Final Salary
Reason for Leaving
Your Duties
(3) Present or most recent employer
Street Address City State Zip
Phone
Number:
Area Code Number
Job Title Supervisor's Name
Dates Employed
From: To:
Starting Salary
Final Salary
Reason for Leaving
Your Duties
Rev. 09/2015
LICENSES / EQUIPMENT / MACHINES OPERATED
Attach additional sheets if necessary.
Typing (wpm)
Computers, Office
Equipment
Licenses (CDL
electrician, etc.)
Heavy / Light Equip.,
Machinery
Mechanical, Repair
Experience
Special Skills / Training
(welding, etc.)
Other
PRE-EMPLOYMENT STATEMENT
Please read the following carefully, then sign and date where indicated:
I authorize Brazos County to make any inquiries they desire regarding my education, employment, ability, habits, and personal character for the purpose of
determining my fitness for employment. I also authorize previous employers or any other persons to whom the county may refer to give any and all information
regarding my employment or scholastic record together with any information personal or otherwise and I hereby release such persons and any companies they
represent from all liability or any damages whatsoever in connection with their compliance. I understand that misrepresentation or omission of any fact or
circumstance called for in this application which would affect my application unfavorably or receipt of unsatisfactory references will be sufficient cause for termination
without liability. This application is not an employment contract and is not intended to create contractual obligations of any kind. Neither the county nor its
employees are bound to continue the employment relationship if either chooses at its will to end the relationship at anytime. All employment is at will and the
relationship cannot be modified unless in writing.
Signature Date
Rev. 09/2015
click to sign
signature
click to edit
BRAZOS COUNTY
Voluntary EEO Self-Identification Form
In an effort to comply with requirements regarding government record keeping, reporting and
other legal obligations which may apply, we invite you to complete this Voluntary EEO
Self-Identification form. Providing this information is strictly voluntary. Failure to provide it will not
subject you to any adverse personnel decision or action. Your cooperation is appreciated.
Name
Date
Position
Gender
Male Female
Ethnicity: (Check all that apply)
Asian/Pacific Islander
All persons having origins in any of the original peoples of the Far East, Indian Subcontinent, Southeast Asia or the
pacific Islands. This area includes, for example, China, Japan, Korea, the Philippine Islands and Samoa.
All persons having origins in any of the black racial groups of Africa.
Black
All Persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture/origin, regardless of
race.
Hispanic
All persons having origins in any of the original peoples of North America.
American Indian/Alaskan
All persons having origins in any of the original peoples of Europe, North Africa or Middle East.
White
Rev. 09/2015
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BRAZOS COUNTY EMPLOYMENT APPLICATION (Brazos County, Texas)

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Completed 17 July 2020

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