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BWA Employment Application
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Benbrook Water Authority Application for Employment
Name
*
Email Address
*
Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Position Applied For:
*
Are you legally eligible for employment in the United States?
*
Yes
No
If yes, proof is required if hired.
Shift Preferred
*
1st
2nd
3rd
Please select which shift(s) you are willing to work
Expected Pay
Will you accept:
*
Full-Time Work
Part-Time Work
On what date would you be available for work?
*
Have you ever been employed here?
*
Yes
No
If so, please give dates
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?
*
Yes
No
Need more information about the job's essential functions to respond.
This question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
Explain any gaps in your employment, other than those due to personal illness, injury or disability.
Have you ever been fired or asked to resign from a job?
*
Yes
No
If yes, please explain.
Please list special training or skills (languages, machine operation, etc.) that would be of benefit in the job for which you are applying.
EMPLOYMENT EXPERIENCE
Please list your most recent employer first.
Employer
*
Employer Contact
*
Address
*
Phone
*
Job Title
*
Supervisor
Dates Employed:
From
*
From
To
*
To
Starting Salary:
Ending Salary
Work Performed
*
Reason for Leaving
*
May we contact this employer?
*
Yes
No
Employer
Employer Contact
Address
Phone
Job Title
Supervisor
Dates Employed:
From
From
To
To
Starting Salary:
Ending Salary
Work Performed
Reason for Leaving
May we contact this employer?
Yes
No
Employer
Employer Contact
Address
Phone
Job Title
Supervisor
Dates Employed:
From
From
To
To
Starting Salary:
Ending Salary
Work Performed
Reason for Leaving
May we contact this employer?
Yes
No
Employer
Employer Contact
Address
Phone
Job Title
Supervisor
Dates Employed:
From
From
To
To
Starting Salary:
Ending Salary
Work Performed
Reason for Leaving
May we contact this employer?
Yes
No
EDUCATION
High School
*
Did you graduate?
*
Yes
No
Course of Study
College
Course of Study
Did you graduate?
Yes
No
Degree
Graduate School
Course of Study
Did you graduate?
Yes
No
Degree
Vocational Training/Other
Course of Study
Did you graduate?
Yes
No
Degree or Diploma
Do you want to attach a resume?
*
Yes
No
Upload Resume
ACKNOWLEDGEMENT
I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from employment with the Benbrook Water Authority whenever it is discovered. I give the Benbrook Water Authority the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the Benbrook Water Authority and its representatives for seeking, gathering, and using such information and all other persons, corporations, or organizations for furnishing such information. The Benbrook Water Authority does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state, or federal law. The Benbrook Water Authority only considers tobacco-free candidates for employment. I acknowledge that this application, once submitted to the Benbrook Water Authority, becomes the property of the Benbrook Water Authority. I acknowledge that any offer of employment will be contingent on my satisfactory completion of a criminal background screening and a drug screening. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the Benbrook Water Authority reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the Benbrook Water Authority, other than an authorized officer, has the authority to make any assurances to the contrary. I furher understand that any such assurances must be in writing and signed by an authorized officer. I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization. I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.
Electronic Signature Acknowledgement
*
I agree
By checking the "I agree" box above, you agree and acknowledge that 1) your employment application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Electronic Signature
*
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