City of Progreso Application for Employment We are an equal opportunity organization. Race, color, disability, religion, sex and national origin or any other basis protected by statute are not factors in membership or promotion. We appreciate your interest in a position with the Progreso Volunteer fire department. To assist us, please fill out the application completely, to the best of your knowledge. First Name: Last Name: Current Mailing Address: City: State: Zip: Phone: Email Address: Date of Birth (Optional) Position interested in:Police OfficerFirefighterMaintenance Education Graduate Colleges or Universities Name and Location Dates Attended:From To Graduated? —Please choose an option—YesNo Diploma or Degree Graduate Schools Name and Location Dates Attended:From To Graduated? —Please choose an option—YesNo Diploma or Degree *Applicants may be required to provide proof of diploma, degree, transcripts, licenses, or certifications Employment History *Include all employment beginning with your current or last position back to your first position Latest Employment Employer Position Address Phone Supervisor Supervisor Title Supervisor Phone Status:Full TimePart TimeTemporary Starting Date: Leaving Date: Current/Final Salary Hours Worked per Week Experience Earned Reason for Leaving Previous Employer Two Employer Position Address Phone Supervisor Supervisor Title Supervisor Phone Status:Full TimePart TimeTemporary Starting Date: Leaving Date: Current/Final Salary Hours Worked per Week Experience Earned Reason for Leaving Previous Employer Three Employer Position Address Phone Supervisor Supervisor Title Supervisor Phone Status:Full TimePart TimeTemporary Starting Date: Leaving Date: Current/Final Salary Hours Worked per Week Experience Earned Reason for Leaving References First Reference Name Address Phone Second Reference Name Address Phone Third Reference Name Address Phone PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR UNDERSTANDING ACCEPTANCE BY CLICKING THE SUBMIT BUTTON. 1. I certify that the information provided by me in connection with my application, whether on this document or not, is true and complete, and I understand that any misstatement, falsification, or omission of information shall be grounds for refusal to hire, or if hired, termination. 2. I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in this country. 3. I understand that some agencies will check with the Texas Department of Public Safety and/or FBI for any criminal history in accordance with applicable statutes. 4. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal and otherwise, with regards to any of the subjects covered by this application. I release all such parties from all liability from any damages which may result from furnishing such information to you.
