Harker Heights Employment Application Form Page 4
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4What are your long range occupational goals?
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List the name and current phone number of four individuals (not relatives or former employers), who can provide a personal reference:
Name and address
Phone number
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I certify that all the information provided in this application for employment is true, complete and correct.
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I understand and agree that the omission or misrepresentation of any fact in the application for employment will be
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sufficient reason for the City of Harker Heights to deny me employment. I also understand and agree that should I
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become employed by the City of Harker Heights and it is later discovered I have omitted or misrepresented any fact in
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this application, the City of Harker Heights may immediately terminate my employment upon discovery of such
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omission or misrepresentation. I understand and agree that should I fail my background/criminal investigation, this
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will be grounds for disqualification or immediate termination.
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Applicant Signature:
Date:
Revised July 3, 2008
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