Application for Employment

PERSONAL INFORMATION

Position Applied For

Full Name (First, Middle, Last)

Address (Street address, Apt/suite, City, State, Zip Code)

Phone Number

Date Available to Start

Desired Pay

Per Hour

Salary

EMPLOYMENT ELIGIBILITY

Are you legally eligible to work in the U.S.? (required)

Yes

Have you ever been employed by the Trophy Club Municipal Utility District (required)

Yes

If yes, provide the start and end dates along with the position held.

Do you have any relatives employed by the Trophy Club Municipal Utility District? (required)

Yes

Do you have any relatives employed by the Town of Trophy Club? (required)

Yes

Have you ever been convicted of a felony? (required)

Yes

If yes, please explain:

EDUCATION

High School

City, State

Graduate?

Yes

College

City/State

Starting Date

Ending Date

Graduate?

Yes

Diploma/Degree

Other

City/State

Starting Date

Ending Date

Degree/Certification

PREVIOUS EMPLOYEMENT

Employer 1

Address

City, State, Zip Code

Phone*

Email*

Start Date

End Date

Job Title

Responsibilities

Starting Pay

Ending Pay

Reason for Leaving

*We will not contact your current employer without your permission

Employer 2

Address

City, State, Zip Code

Phone

Start Date

End Date

Job Title

Responsibilities

Starting Pay

Ending Pay

Reason for Leaving

Employer 3

Address

City, State, Zip Code

Phone

Job Title

Responsibilities

Starting Pay

Ending Pay

Reason for Leaving

REFERENCES (professional only)

Full Name

Relationship

Company

Title

Phone Number

Full Name

Relationship

Company

Title

Phone Number

Full Name

Relationship

Company

Title

Phone Number

MILITARY SERVICE

Are you a veteran? (required)

Yes

Branch

Rank at Discharge

Service Dates

Type of Discharge

If not Honorable, please explain:

BACKGROUND CHECK CONSENT

If asked, are you willing to consent to a background check? (required)

Yes

NOTIFICATION AND AGREEMENT

I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation, or omission of fact on this application (or any accompanying or required documents) will be cause for denial of employment or immediate termination of employment regardless of when or how discovered.

Yes

If hired, I agree to abide by all District rules and regulations, and understand that, if employed, my employment may be terminated with or without cause and with or without notice at any time at the option of either the company or me. I further understand that no representation, whether oral or written by any representative or agent of the District, at any time can constitute a contract of employment. I understand that the District and all Plan Administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance, or otherwise change all policies, procedures, benefits, or other terms of employment. No representative or agent of the District has the authority to enter into any agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the General Manager, or to make any agreement contrary to the foregoing.

Yes

I understand that the District requires the successful completion of a urinalysis for drug testing purposes and/or a blood alcohol test as a condition of employment. I understand I may be required to undergo a post-offer/pre-employment medical examination. By submitting this Application for Employment, I hereby consent to either or both of said tests, and a post-offer/pre-employment medical examination at the District’s discretion. I understand the District will be conducting a background investigation that includes driving records.

Yes

I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.

Yes

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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