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PLEASE READ CAREFULLY AND SIGN BELOW
I certify that my answers are true and complete to the best of my knowledge and that I have made no misrepresentation in this
application and attachment(s), and I have not withheld information in my statements and answers to questions. I understand
that any misstatement, falsification, or omission of information shall be grounds for the rejection of my application, refusal to
hire, or if hired, termination.
I understand that the City of Tomball will require me to successfully complete a pre-employment drug test and a background
check as a condition of employment and that continued employment may be based on the successful completion of similar tests.
Depending on the nature of the position I am seeking, I understand the City of Tomball may conduct post-offer pre-employment
testing including but not limited to, medical, physical, psychological, polygraph and agility test to assess my qualifications for a
particular position. If I require accommodation when the City administers pre-employment tests, I will notify Human Resources in
writing of any accommodations when I submit my application.
I authorize any of the persons, organizations, and educational institutions referenced in this Employment Application to give
officials of the City of Tomball any and all information concerning my previous employment, education, motor vehicle record,
criminal background information, credit reports, or any other information they might have, personal or otherwise, with regard to
any of the subjects covered by this application. I release unconditionally and irrevocably such parties from all liability from any
damages which may result from furnishing such information to the City of Tomball.
I hereby authorize the City of Tomball to investigate and verify any representations made by me, either orally or in writing. I
hereby release the City of Tomball and any individual who provides or obtains information pursuant to this authorization, from
any and all liability for damages of any kind which may result to me on the account of compliance, or attempts to comply, with
I understand that if I am hired, it will be at the discretion of the Department Director, subject to the approval of the City Manager,
as prescribed in the City Charter. I understand that city employment is "at will" which means that the city has no obligation to
continue to employ me in the future. I understand that city employees are subject to the City of Tomball's personnel policies and
administrative policies, as amended. Copies of these policies are available in the Human Resources Department.
I understand that my application is subject to the Texas Open Records law and may be released as a public document. I also
understand that this application is the property of the City of Tomball and will become a part of my personnel file if I am hired. I
further understand that this is an application for employment and that no employment is being offered and that the City of
Tomball, in receiving this application, has made no contract of employment with me and has not in any way guaranteed my
FULL NAME PRINTED: _________________________________________________________
SIGNATURE OF APPLICANT: ___________________________________________________DATE: _______________________
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