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CCMA
Clean Water for
the Future |
EMPLOYMENT
APPLICATION
P.O. Box 930
- Schertz, TX 78154
(210)658-6241 Fax: (210)658-5830
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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
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Date:
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Position
Desired: |
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Name (Last,
First, MI):
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Soc. Sec. #: |
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Present
Address (Number, Street, Apt #):
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Home Phone
(Incl. AC): |
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City:
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State: |
Zip: |
Work Phone
(Incl. AC): |
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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.
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I understand that I shall be required to provide legal
proof of authorization to work in the U.S.
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I understand that I must pass a physical, including a
drug screen, as a condition of employment.
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I understand that I may be required to provide
documented evidence of any or all qualifications I have claimed.
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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.
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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.
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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