Fillable Employment Application (City of Stephenville)

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Employment Application (City of Stephenville)

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The Employment Application (City of Stephenville) form is 4 pages long and contains:

  • 2 signatures
  • 34 check-boxes
  • 110 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Stephenville

BROWSE CITY OF STEPHENVILLE (TX) FORMS

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FAILURE TO FULLY COMPLETE THE INFORMATION REQUESTED ON THIS APPLICATION WILL ELIMINATE YOU FROM
FURTHER CONSIDERATION.
For electronic submissions please fill out all shaded areas, save, and send as an attachment to struss@stephenvilletx.gov
PERSONAL INFORMATION
DESIRED EMPLOYMENT
Please list any relatives employed with the City of Stephenville.
____________________________________________________________________________________________
Please list any relatives who currently or previously served on the Stephenville City Council.
_______________________________________________________________________________________________
EDUCATION
Name (Last, First, Middle Initial)
Email Address
Driver license number, state and
classification
Present Address
Apt No.
City
State
Zip Code
Phone Number
Are you at least 18 years of age?
YES NO
In case of an emergency, notify
Address
Phone Number
Position Applying for
Date you can start
Are you seeking
Full Time Part Time
Summer Seasonal
Are you, or have you been, employed by the City of
Stephenville?
YES NO If yes, when? ________
School Level
Name and Location of School
Major/Minor
Degree Received
High School
HS Diploma GED
College
Trade School
Military School
Employment Application
CITY OF STEPHENVILLE
298 West Washington Street
Stephenville, TX 76401
Phone (254) 918-1220 • Fax (254) 918-1207
www.stephenvilletx.gov • struss@stephenvilletx.gov
The City of Stephenville is an Equal Opportunity Employer of qualified individuals.
2
MILITARY HISTORY FIREFIGHTER/PARAMEDIC POLICE/TELECOMMUNICATOR
LEGAL BACKGROUND RECORD
GENERAL OFFICE SKILLS
Windows Microsoft Word Microsoft Excel 10-Key Other
Estimated Keyboard Speed: _________
SPECIAL CERTIFICATIONS
SPECIAL SKILLS
SPECIAL INTEREST/PROFESSIONAL GROUPS
REFERENCES
Please list three personal references (not former employers or relatives).
Name
Address
Phone
Years Acquainted
Branch of Service:
Paramedic: YES NO
Certificate or License Expiration Date:
Police Officer: YES NO
TCOLE PID #:________________
Highest Rank:
Firefighter: YES NO
Certificate or License Expiration Date:
Telecommunicator: YES NO
TCOLE PID #: ____
Have you ever been convicted of a felony crime? YES NO
What was your charge? ___________________________________________________________________________
Has your driver's license ever been revoked? YES NO
If YES, when and why? ____________________________________________________________________________
3
Name of Present or Last Employer:
Address
City, State and Zip Code
Job Title
Supervisor's Name
May we contact him/her?
YES NO
Supervisor's Job Title
Supervisor's Phone
Starting Date
Leaving Date
Starting Salary/Wage
Final Salary/Wage
Description of Work
Reason for Leaving
Name of Present or Last Employer:
Address
City, State and Zip Code
Job Title
Supervisor's Name
May we contact him/her?
YES NO
Supervisor's Job Title
Supervisor's Phone
Starting Date
Leaving Date
Starting Salary/Wage
Final Salary/Wage
Description of Work
Reason for Leaving
Name of Present or Last Employer:
Address
City, State and Zip Code
Job Title
Supervisor's Name
May we contact him/her?
YES NO
Supervisor's Job Title
Supervisor's Phone
Starting Date
Leaving Date
Starting Salary/Wage
Final Salary/Wage
Description of Work
Reason for Leaving
4
Name of Present or Last Employer:
Address
City, State and Zip Code
Job Title
Supervisor's Name
Supervisor's Job Title
Supervisor's Phone
Starting Date
Leaving Date
Starting Salary/Wage
Final Salary/Wage
Description of Work
Reason for Leaving
How did you hear about the position?
TWC
City Website
Facebook
Other (describe)
________________________________________________
I CERTIFY THAT ALL INFORMATION PRESENTED ON THIS APPLICATION IS TO BE TRUE AND VALID TO THE BEST OF MY
KNOWLEDGE. I UNDERSTAND THAT THIS INFORMATION WILL BE INVESTIGATED AND IN DOING SO I, THE APPLICANT,
RELEASE THE EMPLOYER BEING THE CITY OF STEPHENVILLE FROM ANY AND ALL LIABILITY. I UNDERSTAND THAT ANY
MISREPRESENTATION ON MY PART IN COMPLETING THIS APPLICATION WILL BE JUST CAUSE FOR REJECTION AT ANY TIME
BEFORE AND/OR AFTER MY POSSIBLE EMPLOYMENT WITH THE CITY OF STEPHENVILLE.
I UNDERSTAND THAT THIS APPLICATION IS NOT AN EMPLOYMENT AGREEMENT, AND THAT NO EMPLOYMENT IS BEING
OFFERED TO ME IN THIS APPLICATION. HOWEVER, IF I AM EMPLOYED WITH THE CITY OF STEPHENVILLE, I UNDERSTAND
THAT MY RELATIONSHIP WITH THE CITY OF STEPHENVILLE WILL BE GOVERNED BY THE AT-WILL DOCTRINE. THROUGH
THAT DOCTRINE, I UNDERSTAND THAT THE CITY OF STEPHENVILLE IS ALLOWED TO CHANGE MY WAGES, BENEFITS,
TERMINATE MY EMPLOYMENT AND OTHER CONDITIONS OF MY EMPLOYMENT AT ANY TIME. I ALSO UNDERSTAND THAT
THROUGH THIS DOCTRINE, I MAY TERMINATE MY JOB WITH THE CITY OF STEPHENVILLE AT ANY TIME FOR ANY REASON.
All potential employees are subject to a drug screen and depending on the position, driving record check, criminal history
review, reference check, and any other background check on the applicant. The City of Stephenville is an equal
opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color,
religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
* * * * *Please Note * * * *
All applicants for Police Officer or Cadet Positions must be twenty-one (21) years of age.
Applicant Name: ___________________________________
Signature (see below for email submissions): __________________________________ Date: ____________________
If submitting by email please enter your email address as an electronic signature. This form of signing only applies to
electronic/email submissions.
Electronic Signature (email address): _____________________________
May we contact him/her?
YES NO
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Employment Application (City of Stephenville)

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Completed 24 January 2021

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