Please fill out the form below as accurately as possible. Be sure to include phone numbers and supervisor's names for all employment history. We are required by the State of Texas Department on Aging and Disability Services to check a minimum of two references. If you have not been previously employed,be sure to include names and phone numbers of two personal references (not related to you), that you have known for at least one year.
Thank you for applying. We will process your criminal background check and get back to you as soon as possible.
This institution does not discriminate in hiring or any other decision on the basis of race, color, sex, citizenship, national orgin, ancestry, Vietnam era veteran status, or on the basis of age or physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination.
I voluntarily give this institution the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release from all liability or responsibility all persons, companies or corporations supplying such information. I consent to take a physical examination (if required) and consent to a drug screening. I further consent to participate in any future physical examinations or drug screenings as may be required by this institution at such times and places as the institution shall designate.
I understand that an offer of employment will be contingent on passing a drug drug screening and criminal background check. I further understand that I will be required to complete mandatory orientation and testing prior to beginning employment, and that I will be compensated for this orientation time.
I understand that my employment is at will, and that either party is free to terminate the employment relationship at any time without cause. I also understand that my employment may be terminated for any misstatement or omission of fact appearing on this application form.
If employed, I will be required to complete an Employment Verification Form (I-9), and within three days show satisfactory evidence of identity and eligibility for employment.