Texas Senate Application For Employment Page 3
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1
2
3We ask that you complete ALL portions of the application however you may submit a resume with your application.
Firm, Business, Person, Organization
Phone Number
Present or most Recent
1
Employer’s Name
Address, Street
City/State
Zip Code
Name of Supervisor
Beginning Salary:
Dates of Employment (Month/Year)
Ending Salary:
From
To
Type of Business
Your Title
Please give brief Description of Duties and Responsibilities:
Reason for Leaving:
Firm, Business, Person, Organization
Phone Number
2
Address, Street
City/State
Zip Code
Name of Supervisor
Beginning Salary:
Dates of Employment (Month/Year)
Ending Salary:
From
To
Type of Business
Your Title
Please give brief Description of Duties and Responsibilities:
Reason for Leaving:
Firm, Business, Person, Organization
Phone Number
3
Address, Street
City/State
Zip Code
Dates of Employment (Month/Year)
Name of Supervisor
Beginning Salary:
Ending Salary:
From
To
Type of Business
Your Title
Please give brief Description of Duties and Responsibilities:
Reason for Leaving:
REFERENCES: Please Do not list Relatives or Employers. You may list one Professor or Teacher
Name
Address
Telephone Number
Occupation
Please read the following statements carefully and indicate your understanding and acceptance by signing your name in the space
indicated.
1.
I understand this Employment application does not constitute an offer of employment or an employment contract. The Senate is an at-will employer
so employees may be terminated by either themselves or the employer at any time for any reason or no reason at all, with or without cause or notice.
2.
I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the U.S.
3.
I understand that the State of Texas requires all males who are 18 thru 25 and required to register with the Selective Service, to present either proof
of registration or exemption from registration upon hire.
4.
I hereby authorize all former employers and their employees as well as other references listed on this application to answer any questions and fur-
nish any accurate information from their records concerning me, and I hereby release such companies and persons from any liability for such action.
5.
I understand and agree that any misrepresentation or false statement by me in connection with this application will constitute cause not to employ
me or, if employed to terminate my employment.
Applicant
Date
Application Must Be Signed
Sign Here
*
A Conviction does not Constitute an automatic bar to Employment, and the seriousness of the crime and date of conviction will be considered.
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Parent category: Business