Employment

Instructions

It is important to answer all questions on this application fully and accurately. Failure to do so may delay its consideration and could mean the loss of employment opportunities. If an item does not apply to you, or if there is no information to be given, please type or select "N/A" for Not Applicable.

The City of Maypearl considers all applicants for employment without regard to race, gender, national origin, age, physical handicap, or any other protected status or classification in accordance with state and federal laws. The City of Maypearl considers also provides "reasonable accommodations" to qualified individuals with known disabilities, in accordance with the Americans with Disabilities Act.

Position Applying for (Position Title Stated on Job Announcement)

Date

First Name

Middle Name

Last Name

Last Four Digits of Your Social Security Number

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Home Phone Number

Cellular or Best Phone Number

Email Address

Date available to start work

Are you willing to work overtime as necessary?

Have you ever been employed by the City of Maypearl?

If yes, position held?

Department?

Period of Employment

Do you have relatives working for the City of Maypearl or serving on the City Council?

If yes, whom?

Relationship?

Citizenship

Are you a US Citizen?

If no, do you have the legal right to work in the US?

Notice

It will be necessary to submit documents as required by law to verify your identification and employment authorization upon employment.

Education and Training

Highschool Graduate?

GED?

If GED, from what agency?

Name/Address of Highschool

Additional Information

List colleges, trade schools, or other form of training above high school level.

Do you have another school to report?

Name of School Attended

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Credit Hours

Type of Degree

Major Subject

Name of School Attended

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Credit Hours

Type of Degree

Major Subject

If other, please list

Machine or Equipment Operated

Special Licenses, certifications, or relevant training

Please list any additional training, technical skills, or professional knowledge that would support your applicaiton

Driving and Conviction Record

Drivers License Number

State

Expiration Date

Type of License

Have you been issued a citation for any moving traffic violation(s) within the past years for which you were convicted, served probation, took deferred adjudication, or attended driving school?

More Information

If you selected yes, please provide further information.

Charge

Date

Location

Outcome

Charge

Date

Location

Outcome

Charge

Date

Location

Outcome

Employment History

Instructions

List your employment experience, beginning with your current or last position and work back. Include military experience, part-time, temporary, seasonal positions, and account for periods during which you were unemployed. This page may

Are you currently employed?

Can we contact your current employer?

Employer

Start Date

End Date

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone Number

Starting Salary

Ending Salary

Position Title

Supervisor's Name

Supervisor's Title

Position Type

Describe your duties

Did you receive disciplinary action?

What disciplinary action did you receive?Verbal Warning(s)Written Reprimand(s)Suspension(s)

Reason for leaving or wanting to leave?

Status of leaving

Do you have more work history to report?

Employer

Start Date

End Date

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone Number

Position Title

Starting Salary

Ending Salary

Supervisor's Name

Supervisor's Title

Position Type

Describe your duties

Did you receive disciplinary action?

What disciplinary action did you receive?Verbal Warning(s)Written Reprimand(s)Suspension(s)

Reason for leaving or wanting to leave?

Status of leaving

Do you have more work history to report?

Employer

Start Date

End Date

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone Number

Position Title

Starting Salary

Ending Salary

Supervisor's Name

Supervisor's Title

Position Type

Describe your duties

Did you receive disciplinary action?

What disciplinary action did you receive?Verbal Warning(s)Written Reprimand(s)Suspension(s)

Reason for leaving or wanting to leave?

Status of leaving

Did you have any lapses in employment?

Disciplinary History

Have there been any disciplinary actions against you while working?

Employer

Date

Level of discipline

Explanation of circumstances

City of Maypearl Equal Employment Opportunity Statement

To the Applicant

The commitment of the City of Maypearl to a policy of equal employment opportunity requires the certain information to be gathered and maintained for government record-keeping requirements only. This page will be detached from your application immediately upon receipt, and this information will not be used for making interviewing or hiring decisions.

Position Applying for (Position Title Stated on Job Announcement)

Date

Last Four Digits of Your Social Security Number

Date of Birth

Sex

Drivers License State

Drivers License Number

Expiration Date

Type of License Held

Race/National Origin

If you selected two or more races, please list a single racial/ethnic group from the previous list which you closely identify

How did you find out about this vacancy?

The City of Maypearl is a dynamic city

Downloadable Job Application and Current Job Openings

Online Job Application

Citizenship

Education and Training

Driving and Conviction Record

Employment History

Disciplinary History

City of Maypearl Equal Employment Opportunity Statement

Employment

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