Application for Employment

Position Applying For
---AppraiserAppraisal Technician

Your name:

Your email:

Your phone number:

Your address:

Your city, state zip code:

Are you eligible to work in the United States? YesNo

Are you 18 years of age or older? YesNo

Are you currently employed at Coryell CAD? YesNo

If YES, current job title & department:

Have you ever been employed at Coryell CAD? YesNo

If yes, dates of employment & reason for leaving:

Are you related to any current Coryell CAD Employee? YesNo

If yes, their name & their relationship to you?

If required for position, do you have a valid driver license? YesNo

If yes, state of issuance, license number & expiration date:

How did you learn about this employment opportunity? Check all that apply:
NewspaperJob postingWebsiteWalk-InReferralOther

High School: School Name, City, State:
Did you graduate? YesNo

GED: School Name, City, State:
Did you graduate? YesNo

College: School Name, City, State:
Did you graduate? YesNo
Degree received:

Credentials / licenses / professional affiliations etc. which are relevant to the job for which you are applying:

SKILLS
Please list technical skills, clerical skills, trade skills, etc., relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, expert):

WORK EXPERIENCE
Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Attach additional sheets if necessary. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments.
***PLEASE DO NOT complete this information with the notation “See Resume.”***
Coryell CAD reserves the right to contact all current & former employers for reference information.

#1 Dates Employed: Full-timePart-time

Organization Name & address:

Starting salary:

Ending salary:

Supervisor's name, title and phone number:

Other reference name, title and phone number:

Primary Duties:

Reason for leaving:

Contact my current references:At any timeOnly if I am a finalist candidate

#2 Dates Employed: Full-timePart-time

Organization Name & address:

Starting salary:

Ending salary:

Supervisor's name, title and phone number:

Other reference name, title and phone number:

Primary Duties:

Reason for leaving:

Contact my current references:At any timeOnly if I am a finalist candidate

#3 Dates Employed: Full-timePart-time

Organization Name & address:

Starting salary:

Ending salary:

Supervisor's name, title and phone number:

Other reference name, title and phone number:

Primary Duties:

Reason for leaving:

Contact my current references:At any timeOnly if I am a finalist candidate

#4 Dates Employed: Full-timePart-time

Organization Name & address:

Starting salary:

Ending salary:

Supervisor's name, title and phone number:

Other reference name, title and phone number:

Primary Duties:

Reason for leaving:

Contact my current references:At any timeOnly if I am a finalist candidate

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION.
I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Coryell CAD to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Coryell CAD serve at-will, and the employment relationship may be terminated at any time by either party, for any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. If employed on a regular, benefits-eligible basis, I understand that I would be required to make mandatory contributions to the Coryell CAD Retirement System or to an optional retirement program, if applicable. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice.

Applicant Electronic Signature:

Upload resume/additional documentation: