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Employment Application
Equal Opportunity Employer
EMPLOYMENT APPLICATION. Fill out the fields below to submit your application online.
Your Information
Name
*
First
Middle
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
How long have you lived at this address?
*
Day Phone
*
Home Phone
Email
*
Have you lived outside of Texas anytime in the past 7 years?
*
No
Yes
Please provide that address (if you lived outside of Texas):
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Position for which you are applying?
*
How did you learn of this position?
*
Job Board
Company Website
Social Media
Employee Referral
External Referral
Other
Name of the employee who referred you?
Name of the external person who referred you?
Other:
Check the following options you would consider:
*
Full Time
Part Time
Temp
If part time, specify hours or days available:
What is your minimum salary requirement?
*
Date available to work?
*
MM slash DD slash YYYY
Do you have any commitments to another employer that might affect your employment with us?
*
No
Yes
If so, please describe:
Education
High School
*
Name, City, State
College
*
Name, City, State
Major Course of Study
*
Graduate School
Name, City, State
Major Course of Study
Trade School
Name, City, State
Major Course of Study
List any other education, training, special skills, or certificates/licenses that you possess related to this job.
List any machines or equipment on which you are qualified and are experienced in operating.
List any languages that you speak fluently:
Languages you can read and write:
GENERAL INFORMATION
Are you legally authorized to work in the United States?
*
Yes
No
Were you previously employed by this organization?
*
No
Yes
If yes, please list dates.
*
List any relatives working for this organization if applicable:
Do you believe you can perform the essential functions of the job you are applying for?
*
Yes
No
EMPLOYMENT HISTORY
List all work and volunteer experience beginning with the present or most recent job.
1) Name of Employer, Type of Business
*
Business Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Start Date
*
MM slash DD slash YYYY
End date
*
MM slash DD slash YYYY
Job Title
*
Name and Title of Supervisor
*
Business Phone
*
Employment
*
Full Time
Part Time
Brief Description of Job Duties
*
Last Salary
*
Reason for Leaving
*
2) Name of Employer, Type of Business
Business Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Start Date
MM slash DD slash YYYY
End date
MM slash DD slash YYYY
Job Title
Name and Title of Supervisor
Business Phone
Employment
Full Time
Part Time
Brief Description of Job Duties
Last Salary
Reason for Leaving
3) Name of Employer, Type of Business
Business Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Start Date
MM slash DD slash YYYY
End date
MM slash DD slash YYYY
Job Title
Name and Title of Supervisor
Business Phone
Employment
Full Time
Part Time
Brief Description of Job Duties
Last Salary
Reason for Leaving
PROFESSIONAL REFERENCES
List three persons who are previous supervisors or professional associates who have known you for at least three years. Please do not list friends or relatives.
1) Name
*
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Occupation
*
Phone
*
Relationship
*
2) Name
*
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Occupation
*
Phone
*
Relationship
*
3) Name
*
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Occupation
*
Phone
*
Relationship
*
Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, or articles/books published.
Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience, or articles/books published.
Resume
*
Max. file size: 2 MB.
Upload your resume here
AGREEMENT (Please read the following statements carefully.)
*
I agree to immediately notify The Arc of the Capital Area if I am convicted of, receive deferred adjudication in, or otherwise plead guilty or no contest to a felony, or any crime involving dishonesty or a breach of trust, during my period of employment, if hired. I certify that all the information contained in this application (and accompanying resume, if any) is true, correct and complete, and further understand that any misstatement or omission of information is grounds for immediate dismissal. I authorize all persons listed above (and on the accompanying resume, if any) to give The Arc of the Capital Area any and all information concerning my previous employment and education and any pertinent information they may have, and release all parties, such persons and The Arc of the Capital Area, from liability for any damage that may result from furnishing same to The Arc of the Capital Area. I also agree to execute as a condition of employment or condition of continued employment any additional written authorizations necessary for The Arc of the Capital Area to obtain access to and copies of record pertaining to this information. I also hereby authorize The Arc of the Capital Area access to any job related medical histories or records pertaining to me. If employed by The Arc of the Capital Area, I agree to conform to the rules and regulations of The Arc of the Capital Area. I further understand that my employment with this organization is of an "at will" nature and can be terminated, with or without cause or notice, at any time, at the discretion of either The Arc of the Capital Area or myself, I further understand that no representative of The Arc of the Capital Area, other than The Chief Executive Officer, has any authority to enter into any agreement, oral or written, for employment for any specified period of time or to make any assurance or promise of continued employment.
Yes, I have read these statements and agree.
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