Form Center

Step One

First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Email Address*
Have you ever been convicted of a violation of the law other than a minor traffic violation?*
1. Yes
1. No
Age*
Are you at least 18 years of age?
1. yes
2. no
Current Employment*
Are you currently employed elsewhere?
1. yes
2. no
Eligible in United States*
Are you legally eligible for employment in the United States?
1. yes
2. no
Employed by Wilmer before*
Do you work for or have you ever worked for the City of Wilmer before?
1. yes
2. no
If yes, please give date and position
Filed Application before
Have you filed an application with the City of Wilmer before?
1. yes
2. no
If yes, when?
Related to City Council
Are you related by blood or marriage to any City Council member or employee of the City of Wilmer?
1. yes
2. no
If yes, whom? Name
Relationship
Department
Upload Your Resume
Police Applicants must supply the following documents
Certificate of Birth
Police Applicants must supply the following documents.
Copy of Driver's License
Police Applicants must supply the following documents
- Copy of official high school transcript (indicating graduation), or GED certificate with college transcript reflecting 12 hours of college credit (TCOLE requirement).
Police Applicants must supply the following documents.
- Copy of all college transcripts (if applicable)
Police Applicants must supply the following documents
Copy of military discharge papers (if applicable)
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Beginning with the most recent, list all employment for the past ten (10) years. All applicable blanks must be completed. Resumes may not be submitted in place of employment history, but may be attached as a supplement to your application.
If any employment was under a different name, indicate name.
Employer
Position
Address
City
State
Zip Code
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Responsibilities
Employed From - To (Date)
Salary
Reason for leaving
Employer
Position
Address
City
State
Zip Code
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Responsibilities
Employed From - To (Date)
Salary
Reason for leaving
Employer
Position
Address
City
State
Zip Code
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Responsibilities
Employed From - To (Date)
Salary
Reason for leaving
Please explain any periods of unemployment
Have you been discharged or asked to resign from a job within the last ten (10) years? If yes please explain
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List three professional references whom you have known for at least three years. Do Not include relatives
Full Name*
Relationship*
Address
City
State
Zip Code
How long have you known this person?*
Phone Number*
Full Name*
Relationship*
Address
City
State
Zip Code
How long have you known this person*
Phone Number*
Full Name*
Relationship*
Address
City
State
Zip Code
How long have you known this person?*
Phone Number*
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I hereby certify that all information given on this application is true, correct, and complete to the best of my knowledge. I understand that discovery of misrepresentation or omission of facts herein will make me ineligible for employment and is cause for immediate dismissal.
I hereby authorize any corporation, former employer, educational institutions, law enforcement agencies, city, county, state, and federal courts, and military services to release information about my background including, but not limited to, information about employment, education, criminal record, driving record, and general reputation. I agree to furnish any additional information required to complete the background check. I release all relevant parties from all liability resulting from furnishing such information. I indemnify the City of Wilmer against any liability which may result from making such inquiries.
I also understand that employment with the City of Wilmer is contingent upon the results of an employment physical and drug alcohol screen.
I further understand that this is an application for employment and that no employment contract, whether expressed or implied, is being offered. I also understand that, if employed, such employment is for no fixed or definite period and is subject to change in wages, conditions, benefits, and operating policies. Any employment is “at will” and may be terminated at any time, with or without notice
Applicant Signature*
Date
Date

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