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Equal Opportunity Employer

The City of Granbury is an Equal Opportunity Employer
We are interested in finding out just how good, or how poor, a job we are doing as an Equal Opportunity Employer. The information you provide us will be used to study recruiting and employment patterns, and to determine whether information about city job openings is reaching all segments of the community. Please give us your cooperation by completing this questionnaire and returning it with your application.
Today's Date
Today's Date
First Name
Last Name
Address
City
State
Zip
Birth Date:
Birth Date:
Gender:
1. Male
2. Female
Race:
1. White
2. Asian American
3. Black
4. American Indian
5. Other
Check Highest Level or Education Completed
1. Grade 0-5
2. Grade 6-8
3. Grade 9-11
4. High School
5. Graduate or GED
1. Junior College
2. College
3. Bachelor's Degree
4. Master's Degree
5. Doctoral
Title of Job Applying For:
This job is:
1. Full-Time
1. Part-Time
1. Temporary (Seasonal)
1. Volunteer
How did you learn about this job posting?
1. Newspaper
2. City Employee
3. Internet
1. City Personnel Office
2. Employment Agency or TWC
3. Other
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Personal Information

Failure to fully complete the information requested on this application will eliminate you from further consideration.
First Name
Last Name
Middle Initial
Address
City
State
Zip
Phone Number:
Email Address:
Eligibility:
Only United States citizens or aliens who are legally entitled to work in the United States are eligible for employment. Can you, upon employment, submit documentation verifying your identity and your legal right to work in the United States?
1. Yes
2. No
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Criminal History

Criminal History
Have you ever been convicted of a felony, or have you ever been convicted of a public indecency or a violation of the Texas Controlled Substance Act, or have you ever been convicted or plead guilty or no contest to a criminal act, or have you ever been placed on probation or had your driver's license suspended or revoked, or have you ever been notified of any exclusion or sanctioning by a federal program?
1. Yes
2. No
Note: A positive response to the previous question will not necessarily prevent you from being considered for employment. The City of Granbury will consider the offense for which you were convicted, the circumstances surrounding the conviction, and the date of the conviction as factors in making its hiring decision.
"YES"
If your answer to any of the above is "Yes", please give details, including dates:
Date:
Date:
Notes:
Date:
Date:
Notes:
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Emergency Contact

In case of emergency, notify:
First Name
Last Name
Phone:
Relationship:
Address
City
State
Zip
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Desired Employment

Position Applying for:
Date you can start:
Date you can start:
Type of Work:
1. Full-Time
1. Part-Time
1. Seasonal
Are you, or have you been, employed by the City of Granbury?
1. Yes
2. No
If yes, when?
If yes, when?
Please list any relatives you have employed with the City of Granbury
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Education

Military History

Have you ever served in the military?
1. Yes
2. No
Dates Served:
Dates Served: Start Date
—
Dates Served: End Date
Branch of Service
Highest Rank
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References

1. Name
Phone
Years Aquainted
Address
Email
2. Name
Phone
Years Acquainted
Address
Email
3. Name
Phone
Years Acquainted
Address
Email
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Employment History

Please list employment history starting with the most recent. Be sure to list any employment that is relevant to the position for which you are applying.
1. Name of Previous Employer
Are you still employed here?
1. Yes
2. No
May we contact this employer?
1. Yes
2. No
Address
City
State
Zip
Job Title
Start Date
Start Date
Leaving Date
Leaving Date
Description of Work
Starting Salary/Wage
Ending Salary/Wage
Reason for Leaving
Supervisor/Contact Information
Name
Job Title
Phone
Email
2. Name of Previous Employer
May we contact this employer?
1. Yes
2. No
Address
City
State
Zip
Job Title
Start Date
Start Date
Leaving Date
Leaving Date
Description of Work
Starting Salary/Wage
Ending Salary/Wage
Reason for Leaving
Supervisor/Contact Information
Name
Job Title
Phone
Email
3. Name of Previous Employer
May we contact this employer?
1. Yes
2. No
Address
City
State
Zip
Job Title
Start Date
Start Date
Leaving Date
Leaving Date
Description of Work
Starting Salary/Wage
Ending Salary/Wage
Reason for Leaving
Supervisor/Contact Information
Name
Job Title
Phone
Email
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Resume Upload

Upload a copy of your resume here
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Authorization for Background Check

General Release:
I hereby authorize, without reservation, the city of Granbury to investigate, now and during my employment with the city, if applicable, my past employment, education and activities. I similarly authorize the city to request and receive any information concerning me, including but not limited to criminal history, consumer reports, credit reports, and public records, from any persons, entities, schools, companies, corporations, partnerships, associations, credit bureaus, consumer reporting agencies, state agencies, departments of labor, law enforcement agencies, licensing agencies, and from my previous employers.
A "consumer report" refers to any information bearing on an individual's creditworthiness, credit standing, credit capacity, character, general reputation or personal characteristics. For example, it includes (but is not limited to) a criminal records check.
I further release, discharge, and hold harmless the city of Granbury, Texas and all of its agents, any persons, law enforcement agencies, schools, or personal/business entities and their respective officers, directors, employees, representatives and agents of any kind from any and all claims, liability, damages and responsibility of whatever kind or nature, arising out of or in connection with any act or omission in any such investigation or compliance with this authorization and request to release information, or any attempt to comply with it. This paragraph applies to any negligence, sole negligence, comparative negligence, concurrent negligence, error, or omission.
I have voluntarily signed this release to assist in the evaluation of my employment qualifications and, if employed, to assist in the determination of whether l have violated any city of Granbury. Policy or acted adversely to the interests of the city of Granbury. I understand and agree that this means that a background investigation may be conducted by the city of Granbury prior to being offered a position, after being offered a position, and during my employment.
I agree that if any investigation at any time reveals that I provided false information to or omitted information from the city of Granbury (including, but not limited to, my application, resume or interview), then the application process may be halted, any offer of employment may be withdrawn, or if employed, disciplinary action may occur, including termination of employment with the city of Granbury, without liability.
I understand that if the city of Granbury uses information from a consumer report for an adverse action - for example, denying employment to me, or if I am employed, terminating my employment -the city of Granbury will take the following two steps.
• Before the adverse action is taken, the city will provide a "pre-adverse action disclosure" that includes a copy of the consumer report and an explanation of the law.
• After the adverse action is taken, the city will provide an "adverse action notice." this document will contain the name, address and telephone number of the consumer reporting agency background check company, a statement that the company did not make the adverse decision but that the City did, and a notice that I have the right to dispute the accuracy or completeness of any of the information in the report.
I agree that a telephonic facsimile or photographic copy of this release shall be as valid as the original
1. I hereby authorize and accept these terms and conditions
By checking the box above you agree to the terms.
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Terms and Conditions

I certify that all of the information provided by me on this application is true, correct and complete. I understand that false or misleading statements, or the omission of any information necessary to make this application complete, may result in the rejection of my application for employment or, if hired, in my dismissal.
I understand that no employment is being offered to me by my completion of this application. I also understand that if I am hired, my employment with the City of Granbury will be "at will". I understand that the phrase "at will" means that the City of Granbury is allowed to change the conditions of my employment, up to and including my involuntary termination, at any time and for any reason, and that similary, I may resign at any time and for any reason. I understand that this "at will" relationship may not be changed, either verbally or ny any written documentation, unless such change is specifically acknowledged in writing by the City Manager.
I also understand that nothing contained in this application or in the granting of an interview creates a contract between Granbury and myself, either for employment or for the providing of benefits.
If I am hired, I agree to abide by all policies and procedures of the City of Granbury.
If I am hired, I agree to return all property of the City of Granbury, including but not limited to cellphones, computers, keys, uniforms, tools and equipment. In this connection, I authorize the City of Granbury to withhold from my wages a sum of money equal to the value of the property not returned.
I hereby authorize the City of Granbury to investigate all facts contained ln my application for employment. I also authorize the release of any and all information by my present and past employers, wherever located, which may be required for a reference check. I further authorize all of my previous employers and current employer to give any and all information concerning my employment and any other pertinent information which said employers may have, personal or otherwise, and I release all parties from all liabilities for any damages which may result from the furnishing of said information. A telephonic facsimile or photographic copy of these terms and conditions, including the release, shall be as valid as the original.
1. I hereby agree to these terms and conditions
By checking the box above you agree to the terms and conditions stated.

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Email address

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