HomeMy WebLinkAbout2022 Employment-Job-Application fillable rev 4205111
TROPHY CLUB
MUNICIPAL
UTILITY
DISTRICT
No. 1
TROPHY CLUB MUNICIPAL UTILITY DISTRICT NO. 1
APPLICATION FOR EMPLOYMENT
EMPLOYMENT / JOB APPLICATION
PERSONAL INFORMATION
POSITION APPLIED FOR:
FULL NAME:
ADDRESS:
E-MAIL:
First Middle Last
Street Address
City State
DATE AVAILABLE:
DESIRED PAY: $
DATE:
Apt/Suite
Zip Code
PHONE:
❑ HOUR ❑ SALARY
EMPLOYMENT ELIGIBILITY
ARE YOU LEGALLY ELIGIBLE TO WORK IN THE U.S?
HAVE YOU EVER BEEN EMPLOYED BY THE DISTRICT?
*IF YES, WRITE THE START AND END DATES AND POSITION:
DO YOU HAVE ANY RELATIVES EMPLOYED BY THE DISTRICT? ❑ YES ❑ NO
DO YOU HAVE ANY RELATIVES EMPLOYED BY THE TOWN OF TROPHY CLUB? ❑ YES ❑ NO
HAVE YOU EVER BEEN CONVICTED OF A FELONY? ❑ YES* ❑ NO
*IF YES, PLEASE EXPLAIN:
❑ YES ❑ NO*
❑ YES* ❑ NO
EDUCATION
HIGH SCHOOL:
GRADUATE? ❑ YES ❑ NO
COLLEGE:
CITY / STATE:
CITY / STATE: FROM: TO:
GRADUATE? ❑ YES ❑ NO DIPLOMA/DEGREE:
OTHER: CITY / STATE: FROM: TO:
DEGREE/CERTIFICATION:
PREVIOUS EMPLOYMENT
EMPLOYER 1
E-MAIL:
ADDRESS:
Company / Individual
Street Address
PHONE:
Apt/Suite
City State Zip Code
STARTING PAY: $ 0 HOUR 0 SALARY ENDING PAY: $
JOB TITLE: RESPONSIBILITIES:
FROM: TO: REASON FOR LEAVING:
EMPLOYER 2:
E-MAIL:
ADDRESS:
Company / Individual
PHONE:
Street Address Apt/Suite
City State Zip Code
STARTING PAY: $ 0 HOUR 0 SALARY ENDING PAY: $
JOB TITLE: RESPONSIBILITIES:
FROM: TO: REASON FOR LEAVING:
EMPLOYER 3:
Company / Individual
E-MAIL: PHONE:
ADDRESS:
Street Address Apt/Suite
City State Zip Code
STARTING PAY: $ 0 HOUR 0 SALARY ENDING PAY: $
JOB TITLE: RESPONSIBILITIES:
FROM: TO: REASON FOR LEAVING:
0 HOUR 0 SALARY
0 HOUR 0 SALARY
0 HOUR 0 SALARY
REFERENCES - (PROFESSIONAL ONLY)
FULL NAME:
COMPANY:
E-MAIL:
FULL NAME:
COMPANY:
E-MAIL:
FULL NAME:
COMPANY:
E-MAIL:
First
First
First
Last
Last
Last
RELATIONSHIP:
TITLE:
PHONE:
RELATIONSHIP:
TITLE:
PHONE:
RELATIONSHIP:
TITLE:
PHONE:
MILITARY SERVICE
ARE YOU A VETERAN? ❑ YES ❑ NO
RANK AT DISCHARGE:
TYPE OF DISCHARGE:
BRANCH:
SERVICE DATES:
IF NOT HONORABLE, PLEASE EXPLAIN:
TO:
BACKGROUND CHECK CONSENT
IF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK? ❑ 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.
APPLICANT SIGNATURE:
DATE:
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.
APPLICANT SIGNATURE: DATE:
PRINT NAME:
Completed application can be emailed to HR@tcmud.org or sent by mail to:
Trophy Club Municipal Utility District No. 1
Attn: Human Resources
100 Municipal Drive
Trophy Club TX 76262