The State Of Texas Application For Employment
ADVERTISEMENT
1
2
3
4
5For State Agency Use Only
Date received __________
THE STATE OF TEXAS
Time received __________
APPLICATION FOR EMPLOYMENT
Received by ___________
PRINT IN BLACK INK OR TYPE. These instructions must be followed exactly. Fill out application form completely. If questions are not
applicable, enter "NA." Do not leave questions blank. Be sure to sign when completed. The State of Texas is an Equal Opportunity
Employer and does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the
provision of services. You may make copies of this application and enter different position titles, but each copy must be signed.
Resumes will not be accepted in lieu of applications, unless specifically stated in the job vacancy notice. This application becomes
public record and is subject to disclosure.
With few exceptions, you have the right to request and be informed about information that the State of Texas collects about you. You are entitled to
receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be
incorrect. (Reference: Government Code, Sections 552.021, 552.023 and 559.004.)
NAME
(
)
(Last)
(First)
(Middle)
(Daytime Phone)
MAILING ADDRESS
(
)
(Street)
(City)
(State)
(Zip)
(Country)
(Work Phone, Optional)
E-MAIL ADDRESS
List any other names used if different from name on this application.
List exact title of position or type of work and location for which you wish to
Job Posting Number
Closing Date
apply:
List the state agency with which you wish to
Do you have any relatives working for this agency? If so, list names and
apply:
relationships:
Are you at least 17 years of age? Yes
No
Full-Time
Part-Time
Summer
Temp/Project
Date available for work?
Are you willing to work hours other than 8-5? Yes
No
What days are you unable to work?
Are you willing to travel? Yes
No
If yes, what percent of time?
Current Driver's License # (if required for position)
Commercial Driver's License Yes
No
(State)
(Number)
Geographic preference. (Be specific to city/area. If no preference, write "statewide.")
Have you ever been convicted of a felony or subjected to deferred adjudication on a felony charge? Yes
No
If your answer is "Yes,"
explain in concise detail on a separate page, giving dates and nature of the offense, name and location of the court, and disposition of the case(s). A
conviction may not disqualify you, but a false statement will. Note: Some state agencies may require additional information related to convictions of
misdemeanors.
EDUCATION
(NOTE: Applicants may be required to provide proof of diploma, degree, transcripts, licenses, certifications, and registrations.)
High School Graduate or GED? Yes
No
If yes, name and location of high school or GED institute:
Type
Dates Attended
Date
Expected
Sem/Clock
Type
Major/Minor
of
Name and Location
From
To
Graduated
Graduation
Hours
of Diploma
Fields
School
of School
Mo.
Yr.
Mo.
Yr.
Date
Completed
or Degree
of Study
Undergraduate
Colleges or
Universities
Graduate
Schools
Technical or
Vocational
Schools
Page 1 of 4
(0909)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Instructions For Completing And Submitting The State Of Connecticut Application For Examination Or Employment (form Ct-hr-12) (fillible)
Financial
Secretary Of The State Of Connecticut Application For Certificate Of Authority Foreign Corporation
Business
Related Categories
Parent category: Business