List three people whom you have known for at least three years –
DO NOT
include relatives or former employers.
Full Name Relationship
Address Phone ( )
How long have you known this person? Alt. Phone ( )
Full Name Relationship
Address Phone ( )
How long have you known this person? Alt. Phone ( )
Full Name Relationship
Address Phone ( )
How long have you known this person? Alt. Phone ( )
OTHER
How did you learn of this job opening? (Check one)
Newspaper Ad Which Newspaper? __________________________________________________
Workforce Commission City of Forney Website City Employee Walk In Other _________________________
PLEASE READ CAREFULLY BEFORE SIGNING
I hereby certify that all information given on this application is true, correct, and complete to the best of my knowledge. I understand that
discovery of misrepresentation or omission of facts herein will make me ineligible for employment and is cause for immediate dismissal.
I hereby authorize any corporation, former employer, educational institutions, law enforcement agencies, city, county, state, and federal
courts, and military services to release information about my background including, but not limited to, information about employment,
education, criminal record, driving record, and general reputation. I agree to furnish any additional information required to complete the
background check. I release all relevant parties from all liability resulting from furnishing such information. I indemnify the City of Forney
against any liability which may result from making such inquiries.
I also understand that employment with the City of Forney is contingent upon the results of an employment physical and drug alcohol
screen.
I further understand that this is an application for employment and that no employment contract, whether expressed or implied, is being
offered. I also understand that, if employed, such employment is for no fixed or definite period and is subject t
conditions, benefits, and operating policies. Any employment is “at will” and may be terminated at any time, with or without notice.
__________________________________________________ _____________
Signature of Applicant Date
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