Cameron County Job Application Form PDF Details

The Cameron County Job Application form serves as a comprehensive starting point for individuals seeking employment within various departments of Cameron County, located at 1100 E. Monroe St., Suite 118, Brownsville, Texas. Emphasizing the importance of accuracy and honesty, the application mandates candidates to answer all questions thoroughly, as any provided information is subject to verification. Highlighting its commitment to inclusive hiring practices, Cameron County identifies as an Affirmative Action/Equal Employment Opportunity/MFD Employer, ensuring that applicants are evaluated on an equal basis, irrespective of race, color, sex, religion, national origin, age, disability, citizenship, veteran status, political affiliation, belief, or any other non-job-related factor. Prospects are asked to detail personal data, employment history, educational background, and any special qualifications they possess that are pertinent to the position they desire. Additionally, the document requires disclosure of any criminal record, which does not automatically disqualify an applicant, alongside details pertaining to previous employments such as reasons for leaving and duties performed. This meticulous process aims to match candidates with roles that align with their skills and experience, furthering Cameron County’s operational goals while fostering a diverse and dynamic workforce.

QuestionAnswer
Form NameCameron County Job Application Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namescameron county application, cameron county application for employment, cameron job application, trial employment

Form Preview Example

APPLICATION FOR EMPLOYMENT

CAMERON COUNTY

1100 E. Monroe St. Suite 118, Brownsville, Texas 78520

(956) 544-0827

Affirmative Action/Equal Employment Opportunity/MFD Employer

Answer all questions completely. Only fully completed applications will be considered for employment. The information you supply will be fully verified, so you should avoid any misstatements since they would jeopardize your consideration for employment or serve as

grounds for dismissal.

 

 

 

 

 

 

 

 

 

 

PLEASE PRINT CLEARLY OR TYPE

 

 

 

 

 

Today’s Date:

 

 

 

 

 

 

 

 

 

Position Desired: ______________________

NAME: _____________________________________________________________________________________________________

(Last Name)

 

 

(First Name)

 

(Middle Initial)

 

 

 

Have you ever worked under another name? No Yes

If Yes, what name?

 

 

 

 

Contact Information: (Phone/Mobile/Pager)

 

 

 

 

 

 

 

 

Are you over 18 years of age?

No Yes

 

 

 

Date Available: ______________________________________

Hours willing to work:

 

 

 

Full Time

Part-Time

Rotating Shift

Temporary

Willing to travel? No Yes

Percent of Time:

 

 

 

 

 

 

 

How did you hear about the job?

 

 

 

Newspaper Advertisement

Cameron County Employee

County Bulletin Board

 

 

 

Texas Workforce Commission

School Placement Center

Texas Workforce Development Board

 

Other:

___________________________________________________________

__________________________________________________________________

PERSONAL DATA

Have you ever applied for a position with Cameron County?

No

Yes

Give Date: _____________________________

Have you ever worked for Cameron County?

No

Yes

Dates, From: ___________________________

 

 

 

To: ___________________________

Are any of your relatives employees of Cameron County?

No

Yes

 

If yes, list name, relationship, and department employed in: ______________________________________________________________

______________________________________________________________________________________________________________

Have you ever been convicted of a felony, misdemeanor, or received a differed adjudication? (Disclosure of criminal record does not

automatically disqualify you for employment): No Yes

If yes, please explain dates, nature of charge, and disposition: ____________________________________________________________

______________________________________________________________________________________________________________

Are you authorized to work in this Country?

No

Yes

 

Have you ever been discharged, suspended, or asked to resign from employment? If Yes, Please explain: No

Yes

__________________________________________________________________________________

Are you a veteran of the U.S. Military Service? (This information needed for Civil Service credit) No

Yes

Type of Discharge: _____________

Dates: _________________

 

Are you able to perform the essential job functions with or without reasonable accommodation?

(Answer only after reviewing the

essential job duties on the job posting; may request a copy of the job description)

No

Yes

__________________________________________________________________________________________

EDUCATION HISTORY

 

Degree or Semester Hours

 

 

School/Location

 

Completed

 

Honors/Awards/Extracurricular

 

 

 

 

 

 

Activities

High School

 

Graduated?

 

 

 

No

 

Yes

 

 

 

 

 

 

 

 

 

College

 

 

 

 

 

 

 

 

 

 

 

 

 

Graduate School

 

 

 

 

 

 

 

 

 

 

 

 

 

Business/Vocational

 

 

 

 

 

 

School/Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIAL QUALIFICATIONS

 

For Clerical Positions

 

 

 

 

 

Do you type?

No

Yes

 

WPM

Do you use a 10-Key Adding Machine?

No

Yes

 

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

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

For Public Works Positions

What machines/equipment can you operate that are related to the job you are applying for? (i.e., backhoe, mower, pesticide sprayers)

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

For All Positions

Can you speak or write in a foreign language?

Speak

Write

Language: ____________________________

Fluently

Fluently

 

Not Fluently

Not Fluently

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

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

Do you have any other special skills related to the job you are applying for? (Include knowledge of computer software i.e. Excel, Office, Word and Word Perfect): _________________________________________________________________________________________

______________________________________________________________________________________________________________

___________________________________________________________________________________________________

EMPLOYMENT HISTORY

List all employment after leaving school, starting with your most recent position. All time must be accounted for, including U.S. Military Service. If you were unemployed for any reason, state what you were doing. Complete this section carefully because your work experience will be important in finding the position you are best suited for. Be sure to include all job history relevant to the position you are applying for. If you need additional space, please continue on a separate sheet of paper.

______________________________________________________________________________________________________________

Company:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR EMPLOYER USE ONLY:

 

 

 

 

 

 

 

 

 

 

 

 

Address: ____________________________________________________________________

 

 

Supervisor: __________________________________________________________________

 

 

Supervisor’s Title: ____________________________________________________________

 

 

Telephone: __________________________________________________________________

 

 

May we contact?

Yes

No

 

 

 

 

 

 

Position: ______________________________________________________________

Starting Salary: $____________________

 

From:

/

/

 

To:

/

/

 

 

Ending Salary: $____________________

 

 

 

 

 

 

 

 

Duties, Responsibilities, and Accomplishments: _______________________________

 

 

_____________________________________________________________________________________________________________

Reason for Leaving: _____________________________________________________________________________________________

______________________________________________________________________________________________________________

Company: _____________________________________________________________

 

 

FOR EMPLOYER USE ONLY:

 

 

 

 

 

 

 

 

 

 

 

Address: _____________________________________________________________________

 

 

Supervisor: ____________________________________________________________

 

 

Supervisor’s Title: ______________________________________________________

 

 

Telephone: ____________________________________________________________

 

 

May we contact?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Starting Salary: $____________________

 

Position: ______________________________________________________________

 

 

From:

/

/

 

To:

/

/

 

Ending Salary: $____________________

 

 

 

 

 

 

 

 

 

 

 

 

Duties, Responsibilities, and Accomplishments: _______________________________

 

 

 

 

_____________________________________________________________________________________________________________

Reason for Leaving: _____________________________________________________________________________________________

______________________________________________________________________________________________________________

Company: _____________________________________________________________

 

 

FOR EMPLOYER USE ONLY:

 

 

 

 

 

 

 

 

 

 

 

Address: _____________________________________________________________________

 

 

Supervisor: __________________________________________________________________

 

 

Supervisor’s Title: ___________________________________________________________

 

 

Telephone: __________________________________________________________________

 

 

May we contact?

Yes

No

 

 

 

 

 

Position: ______________________________________________________________

Starting Salary: $____________________

 

From:

/

/

 

To:

/

/

 

Ending Salary: $____________________

 

 

 

 

 

 

 

 

Duties, Responsibilities, and Accomplishments: _______________________________

 

 

_____________________________________________________________________________________________________________

Reason for Leaving: _____________________________________________________________________________________________

___________________________________________________________________________________________________

Date: _______/________/________

REFERENCES

List 3 persons not related to you who have definite knowledge of your character, qualifications, and fitness for the position you are applying for. Do not repeat names listed in the Employment History.

______________________________________________________________________________________________________________

Name: ________________________________________________________________________

FOR EMPLOYER USE ONLY

 

Address: ______________________________________________________________________

 

 

Home Telephone: _______________________________________________________________

 

 

Occupation: ___________________________________________________________________

 

 

Work Telephone: _______________________________________________________________

 

 

How long has reference known you? ________________________________________________

 

 

 

 

 

 

 

Name: ________________________________________________________________________

FOR EMPLOYER USE ONLY

 

Address: ______________________________________________________________________

 

 

Home Telephone: _______________________________________________________________

 

 

Occupation: ___________________________________________________________________

 

 

Work Telephone: _______________________________________________________________

 

 

How long has reference known you? ________________________________________________

 

 

 

 

Name: ________________________________________________________________________

Address: ______________________________________________________________________

FOR EMPLOYER USE ONLY

Home Telephone: _______________________________________________________________

Occupation: ___________________________________________________________________

Work Telephone: _______________________________________________________________

How long has reference known you? ________________________________________________

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

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

AUTHORIZATION AND AGREEMENT

Please read before signing. If you have any questions, please ask.

Cameron County 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.

I authorize the references and prior employers listed above to give Cameron County 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 Cameron County.

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 employment 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 number, driver’s license, home address and date of birth may be requested as a condition for employment at time of job offer.)

Signature:

___________________________________________________________________________________________________________________________

FOR PERSONNEL USE ONLY

Interviewer/Department:Date: _______/_______/___________

Summary Remarks: ______________________________________________________________________________________________

Employed: No Yes

DOH:

/

/

Salary/Hourly rate: $______________

Job Title: ____________________________________

 

Department: _______________________________________________

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