CIBOLO CREEK MUNICIPAL AUTHORITY

Employment Opportunities

 

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Applications and resumes may be submitted by:

Mail: P.O. Box 930-Schertz, Texas 78154

 Fax: (210) 658-5830

Email: dmt@ccmatx.org

Please print out application below

 

 

CCMA

Clean Water for the Future

EMPLOYMENT APPLICATION

P.O. Box 930 - Schertz, TX 78154

(210)658-6241       Fax: (210)658-5830

 

DIRECTIONS:  Follow directions exactly.  Print NEATLY in ink.  Fill out COMPLETELY.  DO NOT leave blanks even if you attach a resume; if question does not apply, enter “NA.”  Attach additional sheets if necessary.  Read the statement you must sign on page 2 carefully.  CCMA is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, gender, religion, age, or disability.

1.      PERSONAL

Date:

 

Position Desired:

Name (Last, First, MI):

 

Soc. Sec. #:

Present Address (Number, Street, Apt #):

 

Home Phone (Incl. AC):

City:

 

State:

Zip:

Work Phone (Incl. AC):

2.     GENERAL

List Any Other Names Used In The Past:

 

Referred To CCMA By:

Are You Related To A CCMA Employee?

Name:

Worked Or Applied At CCMA Before?

Date/s:

Date Available For Work:

Salary Desired:

Currently Employed?

Employer:

May We Contact Them Now?

Military Service: 

Branch:

From:

To:

Final Rank:

Type Discharge:

Date:

Have You Ever Been Convicted Of A Felony?

Dates:

Offenses:

Locations:

Sentences:

3.  QUALIFICATIONS

Valid Drivers License #:

 

State:

Class:

Restrictions:

Do You Hold Current TCEQ Certification?

Type:

 

Class:

Expires:

Other Licenses Or Certification:

 

Type:

Date:

Expires:

What Languages Are You FLUENT In?

ENGLISH : o

OTHER:  ______________________

Speaking: o   Reading: o   Writing: o 

Speaking: o   Reading: o   Writing: o 

Other Skills, Training, Or Equipment

List:

Dates:

Years Experience:

4. EDUCATION

TYPE

SCHOOL and LOCATION

FROM (MO/YR)

TO (MO/YR)

DATE GRADUATED

 (Diploma Or GED )

 HIGH SCHOOL:

 

 

 

 

 

 

TRADE, BUSINESS, OR TECHNICAL SCHOOL

 

 

 

 

 

COLLEGE /UNIVERSITY 

 

 

 

 

 

 

GRADUATE SCHOOL

 

 

 

 

 

OTHER SCHOOLS

 

 

 

 

 

 

5. WORK EXPERIENCE  (List most recent first.  Include past ten years.  Account for all time periods.)

 

FROM:

 

TO:

EMPLOYER AND

ADDRESS:

 

SUPERVISOR:

 

PHONE:

REASON FOR LEAVING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.  REFERENCES  (List three people NOT RELATED to you who have known you for at least one year.)

 

NAME

 

ADDRESS

 

PHONE

 

RELATIONSHIP

 

HOW LONG

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.  AGREEMENT

·         I certify that all information provided by me in this application is true and complete, and I understand that any misrepresentation or omission may disqualify me for employment with CCMA.

·         I understand that I shall be required to provide legal proof of authorization to work in the U.S.

·         I understand that I must pass a physical, including a drug screen, as a condition of employment.

·         I understand that I may be required to provide documented evidence of any or all qualifications I have claimed.

·         I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, including but not limited to a criminal background check. I understand that this application is not intended to be a contract of employment.

·         I authorize any person or organization referenced in this application to provide all information regarding any subject in this application to CCMA, and I release all such parties from all liability for doing so.

·         I understand that no term or condition of employment with CCMA is other than employment-at-will. I understand that, if employed, I will be employed for an indefinite period and that I, as well as CCMA, can terminate my employment for any reason at any time.

My signature below certifies that I understand and attest to all of the above statements.

 

THIS APPLICATION MUST                        __________________________________________     __________________

BE SIGNED AND DATED                                   Applicant's Signature                                          Date

 

 

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