TO ALL APPLICANTS
THE TARRANT REGIONAL WATER DISTRICT PERFORMS DRUG SCREENS AND BACKGROUND CHECKS ON ALL PROSPECTIVE EMPLOYEES. REFERENCES AND MOTOR VEHICLE REPORTS WILL ALSO BE CHECKED.
AUTHORIZATION TO CONFIRM INFORMATION
I CERTIFY THAT ALL OF THE INFORMATION PROVIDED BY ME IN THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT ANY MISSTATEMENT, FALSIFICATION, OR OMISSION OF INFORMATION IS GROUNDS FOR REFUSAL TO HIRE, IF HIRED, TERMINATION.

I AUTHORIZE ANY OF THE PERSONS OF ORGANIZATIONS REFERENCED IN THIS APPLICATION TO GIVE ANY OTHER INFORMATION THEY MIGHT HAVE, PERSONAL OR OTHERWISE, WITH REGARD TO ANY OF THE SUBJECTS COVERED BY THIS APPLICATION, AND I RELEASE ALL SUCH PARTIES FROM ALL LIABILITY FROM ANY DAMAGES WHICH MAY RESULT FROM FURNISHING SUCH INFORMATION TO YOU.

I AUTHORIZE YOU TO REQUEST, RECEIVE, AND VERIFY ALL INFORMATION GIVEN ON THIS APPLICATION.

I FURTHER ACKNOWLEDGE THAT IF I AM EMPLOYED BY THE EMPLOYER, MY EMPLOYMENT WILL BE AT WILL AND MAY BE TERMINATED WITH OR WITHOUT CAUSE AT ANY TIME BY ME OR BY THE EMPLOYER.

I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF THE DISTRICT, AND MY EMPLOYMENT CAN BE MODIFIED OR TERMINATED WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT THE OPTION OF THE DISTRICT. I UNDERSTAND THAT NO MANAGER OR REPRESENTATIVE HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING, EITHER PRIOR TO COMMENCEMENT OF EMPLOYMENT OR AFTER I HAVE BECOME EMPLOYED.

I UNDERSTAND THE ABOVE INFORMATION AND AGREE TO THESE CONTENTS.



09/26/2016
 
APPLICANT SIGNATURE DATE


TARRANT REGIONAL WATER DISTRICT
 
APPLICATION FOR EMPLOYMENT
We are an equal opportunity employer dedicated to a policy of nondiscrimination in employment
on any basis including race, color, age, sex, religion, disability or national origin.
Date: 09/26/2016
EMPLOYMENT DESIRED
* Position

 
* Type of Employment

* Date You Can Start
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* Salary Desired
* Are you employed now?
* If so, may we contact your present employer?
Have you ever applied with this company before?
YES NO
Where?
When?
PERSONAL INFORMATION
* Last Name * First Name Middle Name
     
*Street Address

 
*City

 
* State

 
* Zip

 
* Primary Contact Number
   
* Email Address
   
Referred by
 
* HAVE YOU EVER BEEN CONVICTED OF A CRIME?
 
If yes, explain number of convictions, nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
 
EDUCATION
* High School Education

* No. of Years Completed

* Did you graduate?
* GED (HS equivalent)
* College Attended and Location

* No. of Years Completed

* Did you graduate?
* Degree:
  College Attended and Location
  No. of Years Completed

  Did you graduate?
  Degree:
  Trade, Business, Correspondence School Attended and Location
  No. of Years Completed

  Did you graduate?
GENERAL
Special Courses or Training
 
Experience/Skills Related to the Position for Which You Are Applying
 
EMPLOYMENT HISTORY (List Present or Most Recent Positions First)
* Name of Employer
 
* Street Address
 
*City
 
*State
 
*Zip
 
* Phone
   
   
* Type of Business
   
 
* Department
   
 
* Your Position
   
 
* Duties
 
 
* Name and Position of Immediate Supervisor
 
 
* Date Employed
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* Date Left
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* Starting Salary
   
   
* Final Salary
   
   
* Reason For Leaving
 
 
Name of Employer
Street Address
City
State
Zip
Phone
   
Type of Business
 
Department
 
Your Position
 
Duties
 
Name and Position of Immediate Supervisor
 
Date Employed
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Date Left
Open the calendar popup.
 
Starting Salary
   
Final Salary
   
Reason For Leaving
 
Name of Employer
Street Address
City
State
Zip
Phone
   
Type of Business
 
Department
 
Your Position
 
Duties
 
Name and Position of Immediate Supervisor
 
Date Employed
Open the calendar popup.
 
Date Left
Open the calendar popup.
 
Starting Salary
   
Final Salary
   
Reason For Leaving
 
Name of Employer
Street Address
City
State
Zip
Phone
   
Type of Business
 
Department
 
Your Position
 
Duties
 
Name and Position of Immediate Supervisor
 
Date Employed
Open the calendar popup.
 
Date Left
Open the calendar popup.
 
Starting Salary
   
Final Salary
   
Reason For Leaving
 
 
 
 
I certify that the information provided is true and correct. Signature:
 
Upload Resume, Cover Letter and/or additional documents.




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