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City of Lampasas Employment Application

  1. Logo (main)
  2. 312 East Third Street
    Lampasas, TX 76550
  3. Application for Employment
  4. (512) 556-6831 hr@cityoflampasas.com
  5. Applicant Information
  6. Position Information
  7. General Information
  8. Education History
  9. Licenses & Certifications
  10. Special Skills & Qualifications
  11. Military
  12. Foreign Languages
  13. Employment History
  14. References
  15. History
  16. Agreement
  17. Consent and Release for Employment with the City of Lampasas
  18. I hereby apply for employment at the City of Lampasas and understand and agree that:
  19. Any misrepresentation or false statement by me in connection with the application will constitute justifiable cause for cancellation of this application or separation from the company's service if employed.
  20. If employed by the City of Lampasas and as a condition of my continued employment with the City of Lamapsas, I will be required to comply with the Immigration Reform and Control Act of 1986 by completing an Employment Elgibility Verification (I-9) Form and presenting documents that establish my identity and employment elgibility.
  21. I may be required to sign company documents, such as Patent and Trade Secret Agreements and Business Conduct Policy Acknowledgement.
  22. I authorize persons, schools, employers, organizations and agencies to provide the City of Lampasas with any of my personal background information in their possession, and I agree to disclose any information that may be required to arrive at an employment decision.
  23. I release from liability all individuals and organizations who supply such information.
  24. I have read and understood the above.
  25. Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
  26. Disclosure to Employees and Prospective Employees
  27. In connection with evaluating you for employment, promotion, reassignment or retention as an employee, the City of Lampasas may obtain a report containing information regarding your prior work related injuries,claims and lawsuits, driving history, credit history and criminal history. You have the right to request information regarding the nature and scope of the investigation requested. The Fair Credit Reporting Act gives you specific rights in dealing with consumer reporting agencies. You may request a summary of these rights.
  28. Authorization to Request and Obtain Information
  29. ** If you are considered for this position, staff will contact you for your social security number and your date of birth so that a background check may be completed **
  30. authorize the City of Lampasas to obtain a report containing information regarding my prior work related injuries, claims and lawsuits, driving history, and criminal history in connection with evaluating for employment, promotion, reassignment or retention as an employee.
  31. DPS Computerized Criminal History (CCH) Verification
  32. ** If you are considered for this position, staff will contact you for your social security number and your date of birth so that a background check may be completed **
  33. have been notified that a computerized criminal history (CCH) verification check will be performed by accessing the Texas Department of Public Safety Secure Website and will be based on name and DOB information I supply.
  34. Because the name based information is not an exact search and only fingerprint record searches represent true identification to criminal history, the organization (as listed below) conducting the criminal history check is not allowed to discuss any information obtained using this method, therefore the agency may offer the opportunity to have a fingerprint search performed to clear any misidentification based on the name search, if the search provides a criminal report I know could not be mine. For the fingerprinting process I will be required to submit a full and complete set of my fingerprints for analysis through the Texas Department of Public Safety AFIS (automated fingerprint identification system). I have been made aware that in order to complete this process I must have the correct fingerprinting (FAST) form from this agency, make an online appointment, submit a full and complete set of my fingerprints, and pay a fee of $9.95 to the fingerprinting services company, L I Enrollment Services. Once this process is completed and the agency receives the data from DPS, the information on my fingerprint criminal history record may be discussed with me.
  35. (This copy must remain on file by your agency. Required for future DPS Audits)
  36. Leave This Blank:

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