Job Application PERSONAL INFORMATION Position Applied For Full Name (first, middle, last) Address (street address, apt/suite, City, State, Zip Code) Email Phone Number Date Available to Start Desired Pay Desired Pay Per Hour Salary EMPLOYMENT ELIGIBILITY Are you legally eligible to work in the U.S.? (required) Yes No Have you ever been employed by the Trophy Club Municipal Utility District (required) Yes No 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 No Do you have any relatives employed by the Town of Trophy Club? (required) Yes No Have you ever been convicted of a felony? (required) Yes No If yes, please explain: EDUCATION High School City, State Graduate? Yes No College City/State Starting Date Ending Date Graduate? Yes No 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 Email Start Date End Date Job Title Responsibilities Starting Pay Ending Pay Reason for Leaving Employer 3 Address City, State, Zip Code Phone Email Job Title Responsibilities Starting Pay Ending Pay Reason for Leaving REFERENCES (professional only) Full Name Relationship Company Title Email Phone Number Full Name Relationship Company Title Email Phone Number Full Name Relationship Company Title Email Phone Number MILITARY SERVICE Are you a veteran? (required) Yes No 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 No NOTIFICATION AND AGREEMENT Please read before signing. 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. Questions regarding this statement should be directed to an employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be hired. It is the policy of Trophy Club Municipal Utility District No. 1 (the “District”) to afford equal opportunity to all employees and applicants for employment without regard to age (40 and over), race, religion, color, sex, national origin, marital status, expunged juvenile records, or pregnancy and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, individuals with a disability, and any other characteristic protected by Federal, State or Local laws. 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. 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. 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 No 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 DISCLAIMER Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered. Please complete each section EVEN IF you decide to attach a resume. I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated. Yes No 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 There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
