State of Texas Application for Employment - Free Download
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State of Texas Application for Employment
State of Texas Application for Employment
PRINT IN BLACK INK OR TYPE. These instructions must be followed exactly. Fill out application form completely. If questions are not
applicable, enter "NA." Do not leave questions blank. Be sure to sign when completed. The State of Texas is an Equal Opportunity
Employer and does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision
of services. You may make copies of this application and enter different position titles, but each copy must be signed. Resumes will not
be accepted in lieu of applications, unless specifically stated in the job vacancy notice. This application becomes public record and is
subject to disclosure.
With few exceptions, you have the right to request and be informed about information that the State of Texas collects about you. You are
entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is
determined to be incorrect. (Reference: Government Code, Sections 552.021, 552.023 and 559.004.)
NAME
Social Securit
y
No. - -
(Last) (First) (Middle)
MAILING ADDRESS AC
(
)
(
Street
)
(
Cit
y)
(
State
)
(
Zi
p)
(
Countr
y)
Home Phone
E-MAIL ADDRESS
List an
y
other names used if different from name on this a
pp
lication. AC
(
)
(Work Phone, Optional)
List exact title of position or type of work and location for which you wish to apply:
Job Posting Number
Closing Date
List the state agency with which you wish to apply:
Do you have any relatives working for this agency If so, list
names and relationships:
Full-Time Part-Time Summer Tem
p
/Pro
j
ect Date available for work
Are you willing to work hours other than 8-5 Yes No
What days are you unable to work
Are you willing to Travel Yes No If yes, what percent of time
Current Driver's License #
if re
uired for
osition
Commercial Driver
'
s License
Yes
No
(State) (Number)
Are you at least 17 years of age Yes No
Geographic preference. (Be specific to city/area. If no preference, write "statewide.")
Have you ever been convicted of a felony or subjected to a deferred adjudication on a felony charge Yes No
If your answer is "Yes," explain in concise detail on a separate sheet of paper, giving the dates and nature of the offense, the name and location of the
court, and the disposition of the case(s). A conviction may not disqualify you, but a false statement will. Note: Some state agencies may require
additional information related to convictions of misdemeanors.
EDUCATION (NOTE: Applicants may be required to provide proof of diploma, degree, transcripts, licenses, certifications, and registrations.)
Indicate Highest Grade Completed: 1 2 3 4 5 6 7 8 9 10 11 12 Did you graduate from high school or receive GED Yes
No
Type Dates Attended Date Expected Sem/Clock Type Major/Minor
of Name and Location From To Graduated Graduation Hours of Diploma Fields
School of School Mo. Yr. Mo. Yr. Date Completed or Degree of Study
Undergraduate
Colle
g
es
or Universities
Graduate
Schools
Technical,
V
ocational
,
or Business
Schools
Date Received Time Received Received by
E-133 (0303) Inv. No. 550950 Page 1 of 4
THE STATE OF TEXAS
APPLICATION FOR EMPLOYMENT
For State Agency Use Only
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