Harker Heights Employment Application Form
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1
2
3
4Form P-15
APPLICATION
FOR EMPLOYMENT
Revised July 3, 2008
Last Name
First
Middle
Date
Street Address
Home Telephone
(
)
City, State, Zip
Business Telephone
(
)
Have you ever applied for employment with us?
Social Security #
Yes
No
If yes: Month and Year
Location
P
Position Desired
Texas Drivers License #
E
R
Are you available for full-time work?
Desired Pay
S
If
Yes
No
not, what hours can you work?
O
Are you legally eligible for employment in the United States?
Yes
No
When will you be available to
N
(Proof of citizenship or immigration will be required upon employment)
begin work?
A
L
If employed and you are under 18, can you furnish a work permit?
Yes
No
Will you work overtime if asked?
Yes
No
Other special training or skills (electrical, mechanical , clerical or technical, etc.)
Can you work weekends when
scheduled or requested?
Yes
No
Have you ever been convicted, plead guilty or no contest, or received deferred adjudication before: Yes
No
If yes, give date and detail of each conviction. (A conviction record is not an automatic ban to employment. The nature of the crime will be
considered in relation to the position for which you are applying)
List any previous or current relatives that you may have that work for the City of Harker Heights.
If Yes , what branch
Did you serve in the
Yes
No
MILITARY
U.S. Armed Forces?
Type discharge received
(a less than honorable discharge is not an automatic ban to employment. The circumstances of
the discharge will be considered in relation to the position for which you are applying)
Describe any training received relevant to the position for which you are applying.
Prospective employees will receive consideration without discrimination
because of race, creed, color, sex, age, national origin, disability, or veteran status.
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Parent category: Business