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City of Orange Employment Application
We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status or any other legally protected status.
*If you are seeking a position with the City of Orange Police or Fire Departments, please contact the Personnel Department at 409.883.1030 for the appropriate application.
Attention: Personnel Department
City of Orange | P.O. Box 520 | Orange, Texas 77631
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High School*
Address
College
Address
Degree
Other
Address
Degree
Describe any specialized training, apprenticeship, skills, and extra-curricular activities.
Describe any job-related training received in the United States military.
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(From Most Recent)
Company*
Position*
Supervisor*
Phone Number*
May we contact your previous supervisor for a reference?*
1. Yes
1. No
Address*
Responsibilities
Employed From - To (Date)
Salary
Company*
Position*
Supervisor*
Phone Number*
May we contact your previous supervisor for a reference?*
1. Yes
1. No
Address*
Responsibilities
Employed From - To (Date)
Salary
Company*
Position*
Supervisor*
Phone Number*
May we contact your previous supervisor for a reference?*
1. Yes
1. No
Address*
Responsibilities
Employed From - To (Date)
Salary
List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status.
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Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
Are you capable of performing in a reasonable manner with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.*
1. Yes
1. No
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I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.
I understand that the company may require me to successfully complete a pre-employment drug and alcohol test and a background check as a condition of employment and that continued employment may be based on the successful completion of similar tests.
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.
Applicant Signature*

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