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469-376-4100
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469-376-4100
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Application for Employment (for non-Sheriff jobs)
APPLICATION FOR EMPLOYMENT
Date
*
Month
Day
Year
Position Applied For
*
Department
*
Name (Last, First, Middle)
*
Contact Number
*
Maiden Name or Other Names Used
Email
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Have you ever worked for Kaufman County?
*
Yes
No
Not Applicable
If so, when?
Which Department
Elected Official or Department Head Name
Are you authorized to work in the county?
*
Yes
No
Not Applicable
Proof of citizenship or immigration status will be required upon employment
Do you have relatives working for Kaufman County
*
Yes
No
Not Applicable
If yes, what department?
Relationship
Are you willing to travel if required by the job?
Yes
No
Are you willing to work:
*
Full time
Part tme
Temporary
Shift work
Check all that apply
Are you able to perform the essential functions of the job for which you are applying with or without reasonable accomodations?
*
Yes
No
Have you ever been convicted, pled guilty, pled no contest, received deferred adjudication or probabation for any criminal act?
*
Yes
No
A criminal conviction is not necessarily a bar to employment. False statements or omissions of information, whether intentional or unintentional, will be grounds for immediate elimination from further consdieration (or dismissal from employment with Kaufman County if hired).
If yes, list ALL such offenses and state date, name of Court and disposition
You may omit minor traffic violations for which you paid a fine of $200 or less
Are you under indictment for any crime?
*
Yes
No
If yes, state nature of indictment, date, and location of case(s).
Are you currently employed?
*
Yes
No
If yes, may we contact your present employer?
Yes
No
List all counties and states you have resided in the past 10 years
EMPLOYMENT HISTORY
List all employment (inlcuding military service) for at least the past 4 years. Begin with your present position and work back. The "reason for leaving" and 'salary" must be completed
Current or last employer
Dates of employment
Address of current or most recent employer
Address
City, State, Zip
Phone number of current or most recent employer
Supervisor's Name
Current or most recent job title
Current or most recent salary/hourly rate
Description of current or most recent work
Reason for leaving/wanting to leave current or most recent employment
Previous employment (1)
Address of previous employer (1)
Address
City, State, Zip
Dates worked at previous employment (1)
Phone number of previous employment (1)
Job title of previous employment (1)
Previous employment (1) salary/hourly rate
Previous employment (1) supervisor's name
Previous employment (1) description of work
Reason for leaving previous employment (1)
Previous employment (2)
Dates of previous employment (2)
Address of previous employment (2)
Address
City, State, Zip
Previous employment (2) Phone
Previous employment (2) job title
Previous employment (2) salary/hourly rate
Previous employment (2) supervisor's name
Previous employment (2) description of work
Reason for leaving previous employement (2)
Please explain all periods of unemployment exceeding 90 days
EDUCATION
Applicants may be required to provide copies of transcipts and /or certficates/diplomas
Are you a High School graduate?
*
Yes
No
If no, last grade completed
6
7
8
9
10
11
Have you obtained a GED
*
Yes
No
Not applicable
Education
Name and Address of School #1
Years Completed #1
Major Area of Study #1
Diploma or Degree #1
Education
Name and Address of School #2
Years Completed #2
Major Area of Study #2
Diploma or Degree #2
Education
Name and Address of School #3
Years Completed #3
Major Area of Study #3
Diploma or Degree #3
Education
Name and Address of School #4
Years Completed #4
Major Area of Study #4
Diploma or Degree #4
REFERENCES
Provide the names and address of three (3) persons, other than relatives, who have knowledge of your character, experience, or ability.
Reference (1)
Name
Street Address
City
State / Province / Region
ZIP / Postal Code
Reference (1)
Phone
Occupation
Relationship
Years known
Reference (2)
Name
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Reference (2)
Phone
Occupation
Relationship
Years known
Reference (3)
Name
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Reference (3)
Phone
Occupation
Relationship
Years known
Do you speak any foreign language
Yes
No
If yes, what languages?
Do you have a Commercial Driver's License?
Yes
No
If yes, what classification of CDL do you have?
Class A CDL
Class B CDL
Class C CDL
Not applicable
List any additional experience and training you have had in your opinion would qualify you for the position you are seeking
Have you ever served in the Military
Yes
No
If yes, which branch?
Army
Navy
Marines
Air Force
Coast Gaurd
Not applicable
List any relevant job-related skills during your military service
Please indicate your experience/skills/abilities in the following areas:
Typing Speed below 40 wpm
40-49 wpm
50-59 wpm
60-69 wpm
Above 70
10-Key by touch
Quattro Pro
Word Perfect
Fax
Microsoft Word
Microsoft Excel
Microsoft Power Point
Microsoft Outlook
Social Media
Web Design
Adobe Acrobat
Other
Check all that apply
If other selected, please describe
Please indicate your experience/skills/abilities in the following areas:
Concrete finishing
Welding
Asphalt work
Setting grades
Flagging
Plumbing
Painting
Carpentry
Electrical
HVAC
Auto Mechanic
Heavy Equipment Mechanic
Sign maintenance
Grounds keeping/landscaping
Road maintenance/construction
Surveying
Other
Check all that apply
If other Selected, Please describe
Please indicate equipment operated
Water Truck
Bulldozer
Motor Grader
Roller-packer
Chip Spreader
Track Hoe
Dump Truck
Pneumatic Roller
Backhoe
Tractor Trailer
Winch Truck
Front end Loader
Tractor with mower
Hydraulic Excavator
Other
Check all that apply
If other selected, please describe
Acknowledgement
*
I acknowledge I have read and understand the following:
I certify that the answers given herein are true and complete. I understand that any falsification or willful omission made in my application, resume or interview(s) shall be sufficient cause for dismissal or refusal of employment, whenever discovered. I understand that the information provided in my application, resume and interviews may be investigated, and I hereby authorize each former employer, whether given as a reference or not, to answer any questions and furnish any information sought by Kaufman County concerning any qualifications for employment. I understand that a background investigation which may include a full criminal history, FBI records check and driver’s license check will be conducted. I hereby release Kaufman County and all third parties supplying information to Kaufman County from all liability, including liability caused by negligence, arising from reference and background checks conducted by or on behalf of the employer about me. I also understand that this application is subject to the Open Records Act and may be released as a public document.
understand that my employment is at the discretion of the Commissioners’ Court, Elected Official, or Department Head concerned, and that Kaufman County is an employment-at-will employer, which means that I may resign at any time and Kaufman County may terminate my employment at any time for any or no reason.
I understand that my employment is contingent upon successful completion of a background investigation, driving record and drug screening. I understand that a positive result from the drug screen will eliminate me from consideration from any Kaufman County job for one year.
I understand that Kaufman County has an Employee Personnel Policy Manual, which describes additional obligations, terms and conditions of employment. If selected for employment with Kaufman County, I agree to promptly familiarize myself with the terms of such document and abide thereby. I understand and agree that all benefits, programs, rules and policies of Kaufman County are subject to exceptions or change at any time, as decided by Kaufman County.
certify that I have carefully read each provision of this application for employment and that I have been given an opportunity to ask questions concerning any provision, which I do not fully understand.
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Kaufman County not to discriminate in employment on the basis of race, religion, color, age, national origin, sex, marital status, veteran status or disability. To request a reasonable accommodation or other assistance, contact the Human Resources Department at 972-932-0283, or mail your request to the address above.Kaufman County is an Equal Opportunity Employer. We request that you provide the following information, which is used to study recruitment and employment patterns and to provide statistical data to federal compliance agencies. This information will be kept separate from your application and kept confidential and will in no way be used in consideration of your application for employment. Completion of this portion of the form is voluntary. Failure to provide this information will not jeopardize your opportunity for employment with Kaufman County.
Check the most appropriate blanks:
Male
Female
White
African American
Hispanic
American Indian
Asian
Other
If other seleceted, please specify
What led you to apply with Kaufman County
Stopped by to check for available jobs
Kaufman County Website
Referred by a Kaufman County employee
Texas Workforce Commission
Newspaper
Other
If referred by an employee, please provide the employee's name
If other selected, please specify
Human Resources
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