Employment - The City of Kirby Texas

The City of Kirby is hiring for the following positions:

PARKS MAINTENANCE WORKER

PARAMEDIC (FULL-TIME)

WATER UTILITY WORKER

Employment Application

Step 1 of 5

Position(s) Applied for*
Date of Application*
Date Format: MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
SSN*
Phone*
Do you have a valid driver’s license?*
- Yes
- No
State*
License #*
Exp Date*
MM
DD
YYYY
Type*
Date available for work
Date Format: MM slash DD slash YYYY
Available for:
- Full Time
- Part Time
- Temporary

Are you a high school graduate?*
- Yes
- No
School Name
City/State
Year
Do you have a GED certificate?*
- Yes
- No
City/State
College Information
College Attended
Location
Major
Type of Degree Earned
Please list any other training and education including Trade School, Business College, etc., which would further qualify you for the position.
Special Skills/Qualifications
Add any additional special job-related skills or qualifications you may have received from your experiences (for example, licenses/certifications, foreign language proficiency, office/computer skills).

Personal/Professional References*
First Last
(Give name, address and telephone number of persons not related or previous supervisors.)
Phone*
Occupation*
Best Time To Call*
Personal/Professional References*
First Last
(Give name, address and telephone number of persons not related or previous supervisors.)
Phone*
Occupation*
Best Time To Call*
Personal/Professional References*
First Last
(Give name, address and telephone number of persons not related or previous supervisors.)
Phone*
Occupation*
Best Time To Call*
EMPLOYMENT HISTORY
Instructions: Beginning with your most recent job, list below jobs which you have held and specifically describe duties performed. Include any job related military service-assignments or volunteer work. You may exclude organizations which indicate race, color, religion, gender, national origin, disability or other protected status. YOU MAY ATTACH A RESUME IF YOU WISH, BUT YOU MUST FILL OUT THIS THIS SECTION FULLY.
File
Company Name
Job Title
Duties
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Specific Reason for Leaving and was departure voluntary or involuntary?
May we contact this employer?
- Yes
- No
Company Name
Job Title
Duties
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Specific Reason for Leaving and was departure voluntary or involuntary?
May we contact this employer?
- Yes
- No
Company Name
Job Title
Duties
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Specific Reason for Leaving and was departure voluntary or involuntary?
May we contact this employer?
- Yes
- No

Applicant’s Statement (Please read and sign below)*
I certify that all answers given in this application are true and complete. I also understand that any offer of employment may be conditional upon the satisfactory results of a medical evaluation, drug screening, criminal history background and driver’s license check. I authorize investigation of all statements contained in this application for employment, as may be necessary in arriving at an employment decision and do not hold the City or any other individual involved in this investigation liable for information obtained in this process. I also understand that incomplete, false or misleading information given in my interview or this application may result in elimination from consideration for employment or discharge at any time. I further understand that, if employed, I will abide by all policies, rules and procedures of the City of Kirby.
Date*
MM
DD
YYYY
Comments
This field is for validation purposes and should be left unchanged.

Employment Application

Step 1 of 5

College Information

EMPLOYMENT HISTORY

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