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County of Taylor
Taylor County Courthouse
300 Oak Street
Abilene, Texas 79602
Taylor County Employment Application Information Sheet
Taylor County is an Equal Employment Opportunity Employer. The Equal Employment Opportunity Plan requires periodic reports on the sex and ethnicity of applicants. This data is for equal employment opportunity analysis only.
Submission of information is strictly voluntary. Your participation or refusal to participate will have NO bearing on your application for employment.
CHECK ALL THAT APPLY:*
1. Male
2. White
3. Hispanic or Latino
4. Two or more races
5. Veteran
6. Disabled Veteran
1. Female
2. Black or African American
3. Asian
4. American Indian/Alaskan Native
5. Native Hawaiian/Pacific Islander
6. Disabled Individual
Email Address:*
Position Applied for:*
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Skills and qualifications: Summarize as it relates to the job skills and qualifications acquired from employment or other experience.*
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Employment Experience
Start with your present or last job and include any job-related military service volunteer activities.
Employer:*
Telephone Number:*
Start Date*
Start Date
End Date*
End Date
Address1*
City*
State*
Zip*
Start Rate:*
End Rate:*
Job Title:*
Supervisor*
Work Performed:*
Reason for leaving:*
Employer:*
Telephone Number:*
Start Date*
Start Date
End Date*
End Date
Address1*
City*
State*
Zip*
Start Rate:*
End Rate:*
Job Title:*
Supervisor*
Work Performed:*
Reason for leaving:*
Employer:*
Telephone Number:*
Start Date*
Start Date
End Date*
End Date
Address1*
City*
State*
Zip*
Start Rate:*
End Rate:*
Job Title:*
Supervisor*
Work Performed:*
Reason for leaving:*
Starting Date:*
End Date:*
Address1*
City*
State*
Zip*
Start Rate:*
End Rate:*
Job Title:*
Supervisor*
Work Performed:*
Reason for leaving:*
List professional, trade, business or civic activities, offices held and any additional information you feel may be helpful in considering your application.*
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Agreement
I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application as necessary in arriving at an employment decision. I further authorize employers named in this application to release information to Taylor County concerning my previous employment records and to give a statement concerning my on-the-job performance. It is my understanding that the personal references named in this application my be contacted and asked to give a statement and information concerning my character and moral turpitude. In return for Taylor County's considering this application, I give my permission for Taylor County to investigate my personal and employment history. I understand that Taylor County is an "at-will" Employer. I also Understand that Taylor County's acceptance of this application is no way guarantee's my employment or that I will be interviewed. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of Taylor County.
Signature *
Date*
Date
FOR HUMAN RESOURCES DEPARTMENT USE ONLY
Signature*
Date*
Date

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