Employment Application, Middle Rio Grande, TX

Employment Application

Employment Form

Please fill out the form below or download the form and email or fax us at 830-486-0364.

Employment Application

Step 1 of 4

EMPLOYMENT HISTORY
Provide the following information of your past and current employers, assignments, or volunteer activities, starting with the most recent (use additional sheets if necessary). Explain any gaps in employment in comments section below.
Employer
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Starting Job Title/Final Job Title
Immediate Supervisor/Title
Dates Employed From
MM slash DD slash YYYY
Dates Employed To
MM slash DD slash YYYY
Hourly Rate/Salary Starting
Hourly Rate/Salary Final
Drug/Alcohol testing DOT Regulated
- Yes
- No
May we contact for a reference
Summarize the type of work performed and job responsibilities:
Employer
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Starting Job Title/Final Job Title
Immediate Supervisor/Title
Dates Employed From
MM slash DD slash YYYY
Dates Employed To
MM slash DD slash YYYY
Hourly Rate/Salary Starting
Hourly Rate/Salary Final
Drug/Alcohol testing DOT Regulated
- Yes
- No
May we contact for a reference
Summarize the type of work performed and job responsibilities:
Employer
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Starting Job Title/Final Job Title
Immediate Supervisor/Title
Dates Employed From
MM slash DD slash YYYY
Dates Employed To
MM slash DD slash YYYY
Hourly Rate/Salary Starting
Hourly Rate/Salary Final
Drug/Alcohol testing DOT Regulated
- Yes
- No
May we contact for a reference
Summarize the type of work performed and job responsibilities:
Employer
Phone
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Starting Job Title/Final Job Title
Immediate Supervisor/Title
Dates Employed From
MM slash DD slash YYYY
Dates Employed To
MM slash DD slash YYYY
Hourly Rate/Salary Starting
Hourly Rate/Salary Final
Drug/Alcohol testing DOT Regulated
- Yes
- No
May we contact for a reference
Summarize the type of work performed and job responsibilities:
Comments including explanation of any gaps in employment:
SKILLS & QUALIFICATIONS
Summarize any special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.

EDUCATIONAL BACKGROUND (if job related)
High School
School
Degree or Diploma
# of Years Completed
Course of Study (Major/Minor)
Undergraduate College
School
Degree or Diploma
# of Years Completed
Course of Study (Major/Minor)
Graduate Professional
School
Degree or Diploma
# of Years Completed
Course of Study (Major/Minor)
Others (Specify)
School
Degree or Diploma
# of Years Completed
Course of Study (Major/Minor)
References
Name
First Last
Complete Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone & Area Code
# of years known
Name
First Last
Complete Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone & Area Code
# of years known
Name
First Last
Complete Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone & Area Code
# of years known
ADDITIONAL INFORMATION
List professional, trade, business, or civic associations and any offices held. Exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve national guard, or any other similarly protected status.
Organization
Offices Held
Organization
Offices Held
Organization
Offices Held
Organization
Offices Held
List any special accomplishments, publications, awards, etc. Exclude memberships that would reveal race, color, religion, sex, national origin, citizenship, age, mental or physical disabilities, veteran/reserve National Guard, or any other similarly protected status.

APPLICANT STATEMENT
I certify that all information I have provided in order to apply for and secure work with Southwest Area Regional Transit District is complete, and correct.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to cancel further consideration of this application OR immediately discharge me from the employer’s service, whenever it is discovered.

I expressly authorize, without reservation, Southwest Area Regional Transit District, its representatives, employees, or agents to contact and obtain information from all references (personal and professional), employees, public agencies, licensing authorities, and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding Southwest Area Regional Transit District, its agents, employees, or representative, for seeking, gathering, and using such information in the employment process and all other persons, corporations, or organizations for furnishing such information about me.

I understand that drug and alcohol testing is a requirement of employment with Southwest Area Regional Transit District and that I will be subject to testing as a condition of employment. I also understand that all DOT employers are required to check on the drug and alcohol testing background of new hires and other employees beginning safety-sensitive work. SWART is required to get written consent from the applicant. SWART must send the request for information and the employee’s consent to all other DOT-regulated employers for whom I have worked within the previous two years. SWART cannot let the employee perform safety-sensitive duties for more than 14 days unless SWART has obtained, or made and documented a good faith effort to obtain this information. If SWART finds that I have a violation on my record and have not completed the return-to-duty process, SWART must immediately stop using me to perform safety sensitive functions.

I understand that the employer does not lawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state, or federal law.

I understand that this application is only for the current posted position and will be kept on file for 90 days.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of Southwest Area Regional Transit District authorized to make any assurance to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the General Manager or Assistant General Manager.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United State and that federal immigration laws require me to complete an I-9 form in this regard.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand, and accept all terms of the foregoing applicant statement.
Applicant Signature
Date
MM slash DD slash YYYY
APPLICANT ACKNOWLEDGEMENT
I acknowledge that I have received a copy of the position description for the position for which I am applying. I further acknowledge that I have read the position description and have been given the opportunity to ask any questions I may have regarding the duties, both physical as well as mental for this position. Based on the information provided me on the position description, I hereby attest to the following:
- I can meet the minimum physical and mental requirements of the job as outlined on the position description.
- I can not meet the minimum physical and mental requirements of the job as outlined on the position description.
- Other
(Please explain)
Applicant Signature
Date
MM slash DD slash YYYY
NOTICE TO APPLICANTS

Screening tests for illegal drug use is required as a condition of employment.
Please make sure all forms have been completed prior to turning in application
- Reference Form (Sign Only)
- Consent for Release of Alcohol & Drug misuse and testing information
- Position description/acknowledgement
- Affirmative action information (VOLUNTARY)
Click here to download Reference Form
Upload Reference Form
Max. file size: 100 MB.

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Employment Application

Employment Form

Employment Application

Step 1 of 4

EMPLOYMENT HISTORY

EDUCATIONAL BACKGROUND (if job related)

High School

Undergraduate College

Graduate Professional

Others (Specify)

References

ADDITIONAL INFORMATION

APPLICANT STATEMENT

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

NOTICE TO APPLICANTS

Screening tests for illegal drug use is required as a condition of employment.