Fillable EMPLOYMENT APPLICATION (Brazos County, Texas)

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EMPLOYMENT APPLICATION (Brazos County, Texas)

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The EMPLOYMENT APPLICATION (Brazos County, Texas) form is 3 pages long and contains:

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Country of origin: US
File type: PDF

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

BROWSE BRAZOS COUNTY, TEXAS (TX) FORMS

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Date available to begin work:
Have you made an application before? If YES, when:
Area Code Number
YES NO
Rank at discharge: Branch of Service:
Duties:
Number of years served:
U.S. MILITARY SERVICE
EDUCATION
Please attach additional information, if needed, to answer details of the following questions.
Can you submit proof of age, if hired? All applicants must be at least 18 years of age (21 if applying for a deputy sheriff position).
Name:
Last First
Initial
State Number
Driver’s License Number:
(If job you’re applying for requires one)
City State Zip
Today’s Date:
(mm/dd/yyyy)
If YES, give name and relationship:
YES NO
Are you legally eligible to work in the U.S.? (Verification will be required if hired).
Have you ever been convicted of a felony? If YES, give details:
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?
BRAZOS COUNTY CSCD
EMPLOYMENT APPLICATION
AN EQUAL OPPORTUNITY EMPLOYER (M/F/D/V)
Brazos County CSCD
PO Box 2015
Bryan, Texas 77806
(979) 361-4410 • (979) 822-5341 (fax)
Are you a member of the National Guard or Reserve?
Do you anticipate any active duty, including reserve training, in the future?
Starting salary desired:
Rev. 08/2008
INSTRUCTIONS: All applications for employment with CSCD 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.
InactiveActive
Major
Subject(s)
No. of Years
Completed
DIPLOMA
Degree
Name and Location
High
School
College
College
Graduate
School
Other (Trade, business,
or professional school):
Other course work applicable
to this type of work:
Are you related by blood or marriage to
any CSCD employee?
Position
Desired:
Street
Address:
Phone
Number:
Social Security
Number:
Submit by Email
Print Form
Applicant’s Signature Date
Reason for leaving:
Your duties:
Starting
Salary:
Final
Salary:
Dates Employed
From: To:
Supervisor’s Name: Job Title:
City
State
Zip
Area Code Number
Phone
Number:
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.
Address:
(1) Present or most recent employer
Reason for leaving:
Your duties:
Starting
Salary:
Final
Salary:
Dates Employed:
From: To:
Supervisor’s Name: Job Title:
City
State
Zip
Area Code Number
Phone
Number:
Address:
(2) Previous employer
Reason for leaving:
Your duties:
Starting
Salary:
Final
Salary:
Dates Employed:
From: To:
Supervisor’s Name: Job Title:
City
State
Zip
Area Code Number
Phone
Number:
Address:
(3) Previous employer
PRE-EMPLOYMENT STATEMENT
Please read the following carefully, then sign and date where indicated:
Brazos County Community Supervision and Corrections Department is an equal opportunity employer, and selects the best matched individual for the job based upon job related qualifications, regardless of race, color, creed, sex, national
origin, age, disability or other protected groups under state, federal or local Equal Opportunity Laws.I understand and agree that: A thorough investigation of my entire work history, criminal history, and driving record as well as verification of all
data given in my application, related papers, and oral interviews is expected and is hereby authorized. I certify that all information provided by me in connection with my application, whether on this document or not, is true and complete, and I
understand that any misstatement, falsification, or omission of information may be grounds for refusal to hire, or, if hired, termination. A review and disclosure of all records or information concerning myself by another entity to the Brazos
County Community Supervision and Corrections Department is hereby authorized. Any information obtained by a personal history background investigation will be used to assist the Department in determining my qualifications and fitness for
employment. I hereby release the person who furnishes such information and the Department from any liability, damage, or legal accountability, which may occur as a result of releasing such information. Further, I hereby expressly waive and
release any special right of access I may have under any statutes or the common law to the information furnished about me to the Brazos County Community Supervision and Corrections Department. If I am employed, I will conform to the
rules and regulations of the Brazos County Community Supervision and Corrections Department and understand that either the Director or me can terminate my employment, at any time, with or without cause, and with or without notice. I
understand that no supervisor or representative of the Department other than the Director has authority to enter into any agreement contrary to the foregoing or for employment for any specified period of time, will do so rarely, if ever, and said
agreements will always be in writing. Although management makes every effort to accommodate individual preferences, business needs may at times make the following conditions mandatory: a work schedule other than Monday through
Friday and during what may be considered non-traditional work hours. I further understand that this is an application for employment and that no employment contract is being offered. I understand that if I am employed, said employment is for
no definite period of time and that the Brazos County Community Supervision and Corrections Department can change wages, benefits and conditions at any time. I have read and understand the above, and agree to its provisions.
LICENSES / EQUIPMENT / MACHINES OPERATED
Attach additional sheets if necessary.
Rev. 08/2008
Computers, Office
Equipment:
Licenses (CDL,
electrician, etc.):
Heavy / light equip.,
machinery:
Mechanical, repair
experience:
Special skills / training
(welding, etc.):
Other:
Typing
(wpm):
Applicant’s Signature Date
PRE-EMPLOYMENT STATEMENT
Please read the following carefully, then sign and date where indicated:
Brazos County Community Supervision and Corrections Department is an equal opportunity employer, and
selects the best matched individual for the job based upon job related qualifications, regardless of race,
color, creed, sex, national origin, age, disability or other protected groups under state, federal or local Equal
Opportunity Laws.I understand and agree that: A thorough investigation of my entire work history, criminal
history, and driving record as well as verification of all data given in my application, related papers, and oral
interviews is expected and is hereby authorized. I certify that all information provided by me in connection
with my application, whether on this document or not, is true and complete, and I understand that any
misstatement, falsification, or omission of information may be grounds for refusal to hire, or, if hired,
termination. A review and disclosure of all records or information concerning myself by another entity to the
Brazos County Community Supervision and Corrections Department is hereby authorized. Any information
obtained by a personal history background investigation will be used to assist the Department in determining
my qualifications and fitness for employment. I hereby release the person who furnishes such information
and the Department from any liability, damage, or legal accountability, which may occur as a result of
releasing such information. Further, I hereby expressly waive and release any special right of access I may
have under any statutes or the common law to the information furnished about me to the Brazos County
Community Supervision and Corrections Department. If I am employed, I will conform to the rules and
regulations of the Brazos County Community Supervision and Corrections Department and understand that
either the Director or me can terminate my employment, at any time, with or without cause, and with or
without notice. I understand that no supervisor or representative of the Department other than the Director
has authority to enter into any agreement contrary to the foregoing or for employment for any specified
period of time, will do so rarely, if ever, and said agreements will always be in writing. Although
management makes every effort to accommodate individual preferences, business needs may at times
make the following conditions mandatory: a work schedule other than Monday through Friday and during
what may be considered non-traditional work hours. I further understand that this is an application for
employment and that no employment contract is being offered. I understand that if I am employed, said
employment is for no definite period of time and that the Brazos County Community Supervision and
Corrections Department can change wages, benefits and conditions at any time.
Rev. 08/2008
I have read and understand the above, and agree to its provisions.
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EMPLOYMENT APPLICATION (Brazos County, Texas)

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Completed 30 January 2022

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