Polk Central Appraisal District Employment Application
ADVERTISEMENT
1
2
3
4EMPLOYMENT APPLICATION
Polk Central Appraisal District
114 Matthews
Livingston, Texas 77351
An Equal Opportunity Employer
PRINT IN BLACK INK OR TYPE. These instructions must be followed exactly. Fill out application form completely; any misstatements(s) or omission(s) as to
material facts will constitute grounds for unfavorable consideration; if questions are not applicable, enter “NA”. Do not leave questions or spaces blank. Resumes
.
will be accepted for whatever additional information they contain, but not in place of a completed application. Be sure to sign when completed
Position Applied For
Position Number
Type of Employment
Date
□ Full Time
□ Part Time
□ Seasonal
Salary Expected
Date Available
Are you willing to work hours other than 8-5?
If yes, when?
Name of Applicant
(Last)
(First)
Middle
Maiden
Social Security Number
Current Address (Number, Street, City, State, Zip)
Residence Telephone Number:
Business Telephone (area code and number)
(area code and number)
Alt. Phone Number (area code and number)
Permanent Address
(Number, Street, City, State, Zip)
Are you legally entitled to work in the
Have you ever been convicted of or granted deferred
If yes, describe:
United States?
adjudication for a felony or misdemeanor?
Education (You must attach transcripts(s) if you list any college or university attendance)
High school attended and location:
Dates Attended
Graduate
Type of
Highest Grade
Diploma or
Major Field of Study
FROM
TO
successfully completed
YES
NO
Degree
College/University attended and
Type of
Dates Attended
Graduate
Number of Semester
location:
Diploma or
Major Field of Study
Hours completed
Degree
FROM
TO
YES
NO
Technical/Vocational School
Type of
Dates Attended
Graduate
Number of Semester
attended and location:
Diploma or
Major Field of Study
Hours completed
FROM
TO
YES
NO
Degree
Major subjects or areas of specialization:
Current Licenses/Certification/Registrations (Include types and dates received):
Foreign Languages you can speak, write, read (list language):
Military Service (active duty)
Branch
Dates:
From
To
Are you in the Active Reserve:
If yes, what branch:
□ YES
□ NO
(Note: A certified copy of a report of separation from the armed forces may be required)
POLK CENTRAL APPRAISAL DISTRICT ~ EMPLOYMENT APPLICATION
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business