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Employment Application

  1. Please fill out Application form completely. If questions are not applicable, you may enter "N/A". Do not leave questions blank. The City of Marlin is an Equal Opportunity Employer and does not descriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of service. This application becomes Public Record upon submission and is subject to disclosure.

  2. Position you choose to Fill

  3. Month, Day, Year

  4. Date Born

  5. Legal Name

  6. Legal Name

  7. Physical Address & Mailing Address, if different

  8. @yahoo.com;@sbcglobal.com; etc

  9. USA City

  10. USA State

  11. USA Zip Code

  12. Land Line Number

  13. Cellular Number

  14. Social Security Number

  15. Expiration Date?

  16. Drivers License Number?

  17. ie; nickname, alias, etc.

  18. Dates Please

  19. Who is it and how are you related?

  20. When can you start?

  21. I certify that the facts contained in this application and in any resume or other material provided to the City and in any oral statements by me are true and complete to the best of my knowledge. I understand that if employed, omissions, incomplete statements, or false statements on this application or other materials supplied to the City or in oral statements by me in the hiring process shall be grounds for dismissal. I authorize investigation of all statements contained herein and authorize the employers and references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you. I understand that the City of Marlin will check with the Texas Department of Public Safety or other organizations for any criminal history in accordance with applicable statutes. I understand and agree that if hired: 1. My employment is for no definite period but may be terminated by the city at any time without any prior notice and without cause. 2. No officer or employee of the city can guarantee me employment for any period of time or any specific salary benefits except by a written employment agreement between me and the city and as signed by the City Manager. 3. I will comply with all rules and regulations of the City including the drug and alcohol policy. I understand the City’s rules, regulations and policies are not a contract and may be changed or waived by the City at any time. I hereby authorize the City of Marlin and the Marlin Police Department and its authorized representatives bearing this release, or a copy thereof, within one year of its date, to obtain any information in your files pertaining to my employment, military, credit, education or medical records, including not limited to academic, achievement, attendance, athletic, personal history, and disciplinary records, medical records, and credit records. I hereby direct you to release such information upon request of the bearer. This release is executed with full knowledge and understanding that the information is for official use. Consent is granted to all parties to furnish such information, as described above, to third parties in the course of fulfilling its official responsibilities. I hereby release you, as custodian of such records, and any school, college, university, or other educations institution, hospital, or other repository of medical records, credit bureau, lending institution, consumer reporting agency, or retail business establishment including its officers, employees, or related personnel, both individually and collectively, from any and all liability for damages of whatever kind, which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request to release information, or attempt to comply with it. I am furnishing my Social Security Account Number on a voluntary basis with the understanding such is not required by any law or regulation. I have been advised that all parties will utilize this number only to facilitate the location of employment, military, credit, and educational records concerning me in connection with this application.

  22. I have read and understand the statement above and agree with the background authority for verification requirements.

  23. Leave This Blank:

  24. This field is not part of the form submission.