Employment Opportunities – City of La Villa

Which position are you applying for?

Job Description

Full Name

First

Middle

Last

Date of Birth

For background check only

Social Security Number

For background check only

Driver License State

Driver License Number

Physical Address

City

Zip

Is your mailing address the same as your physical address?

Yes

Mailing Address

City

Zip

Phone Number

Date Available to Work

Hours Willing to Work

Select all that apply

EDUCATION HISTORY

High School Name/GED

Did you graduate?

Yes

Graduation Date

Honors/Awards/Extracurricular Activities

Post Highschool/GED School Name

Did you graduate?

Yes

If yes, graduation date?

If no, hours completed?

Degree Obtained

Degree Type

Add School Remove School

SPECIAL QUALIFICATIONS

Do you type?

Yes

Words Per Minute?

Do you use a 10-key Adding Machine?

Yes

What office machines can you operate? (Include computer skill):

What machines can you operate or repair? (i.e. backhoe, mower, gasoline/diesel vehicles or small engines, etc.

Can you speak/write in a foreign language?

Yes

What language(s)?

Speak

Fluent

Not Fluent

Write

Fluent

Not Fluent

Add Language Remove Language

What other licenses/certifications/registrations do you have? (Include dates received and license numbers):

Do you have any other special skills? (Include knowledge of computer software, i.e. Word, Excel, Outlook, QuickBooks):

EMPLOYMENT HISTORY

Company Name

Company Phone Number

May we contact?

Yes

Company Address

Address

City

Zip

Supervisor Name

Supervisor Position

Position Held

From Date

To Date

Duties, responsibilities, and accomplishments:

Reason for leaving?

Add Work History Remove Work History

REFERENCES

Reference Name

Reference Phone Number

May we contact?

Yes

Reference Address

Address

City

Zip

Reference Occupation

How long has reference known you?

Years

Add Remove

State any additional information you feel may be helpful to us in considering your application:

<h2 style="text-align: center;">AUTHORIZATION AND AGREEMENT</h2>
<p style="text-align: center;"><em>Please read carefully before signing. If you have any questions, please call City Hall at (956) 262-2122.</em></p>
<p style="text-align: left;">The City of La Villa is an equal opportunity employer and does not discriminate in its recruiting, selection, and hiring procedures because of race, color, sex, religion, national origin, age, disability, citizenship, veteran status, political affiliation or belief, or any other non-job related factor.</p>
I authorize the references and prior employers listed in this Application for Employment to give the City of La Villa any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to the City of La Villa.

I hereby affirm that the information provided in this Application for Employment is true, correct, and complete. if employed, any misstatements or omission of fact on this application may result in my dismissal.

I understand that completion of this application form does not constitute any type of employment agreement or contract. I further understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. (Social Security and Driver License number, home address and date of birth may be requested as a condition for employment at time of job offer).

Signature

Clear

Date

Time

If you are human, leave this field blank.

"Small City with a Big Heart"

City of La Villa - Online Job Application

PERSONAL DATA

EDUCATION HISTORY

SPECIAL QUALIFICATIONS

EMPLOYMENT HISTORY

REFERENCES