Texas Senate Application For Employment

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TO THE APPLICANT
TAKE THIS CARD WITH YOU
:
If you are an 18 to 26 year old male, State law requires that you bring your Selective Service Registration or Proof of
Exemption to Senate Human Resources in Room 625, Sam Houston Building prior to employment.
To obtain your Selective Service number and proof of registration call: (847) 688-6888
or you may register on-line at
If you obtain a position in the Senate, when you report for duty you must bring:
One (1) of the documents from List A below. OR
One (1) of the documents from List B AND one (1) of the documents from List C.
List A (Bring one of the following:)
1) United States Passport
2) Certificate of United States Citizenship
3) Certificate of Naturalization
4) Unexpired foreign passport with attached Employment Authorization.
5) Alien Registration Card with photograph.
List B (Bring one of the following:)
AND
List C (Bring one of the following:)
1) State issued driver’s license or a State
1) Original Social Security Number Card
issued I.D. card with a photograph, or
(other than a card stating it is not valid
information including name, sex, date
for employment.)
of birth, height, weight, and color of eyes.
2) A birth certificate issued by State, county,
2) U.S. Military Card
or municipal authority bearing a seal or
other certification.
3) Unexpired INS Employment Authorization
Form SHR-1 (06/12/2000)
EEO Data Monitoring Card
Completion of this card is not a requirement for making application for employment with the Texas Senate and the information will not be used for
consideration of employment with the Senate. The information requested on this card will be used to compile Statistical Applicant and Employee Data.
This information will be kept separate and apart from your Application for Employment by the EEO Officer.
Name ( Last, First, Middle)
Date
Address (Street & No., City, State, Zip Code)
Ethnic
White
Hispanic
Asian American
Sex:
Male
Origin/Race:
Black
American Indian
Other (Specify)
Female
If no, please specify your
Are you a U. S. Citizen?
Yes
No
immigration status: ___________________________________________________________
Month,
Day,
Year
Date of Birth:
Position(s) Applied for:
1.
2.
3.
Referral
Senate Employee
Newspaper
Professional Community Organization
Source:
Job Posting
Job Bank
Other (Specify)

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