We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

    Position(s) Applied For

    Date of Application

    How Did You Learn About Us?

    AdvertisementFriendWalk-InEmployment Agency

    Other

    Last Name

    First Name

    Middle Name

    Address

    Number

    Street

    City

    State

    Zip Code

    Telephone Number(s)

    If you are under 18 years of age, can you provide required proof of your eligibility to work?YesNo

    Have you ever filed an application with us before?YesNo

    If Yes, give date

    Have you ever been employed with us before?YesNo

    If Yes, give date

    Are you currently employed?YesNo

    May we contact your present employer? YesNo

    Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
    Proof of citizenship or immigration status will be required upon employment.    YesNo

    On What date would you be available for work?

    May we contact your present employer? Full TimePart TimeShift WorkTemporary

    Are you currently on “lay-off” status and subject to recall? YesNo

    Can you travel if a job requires it?YesNo

    Have you been convicted of a felony within the last 7 years?
    Conviction will not necessarily disqualify an applicant from employment.    YesNo

    If Yes, please explain

    Education

    Name and Address of School

    Course of Study

    Years Completed

    Diploma Degree

    Elementary School

    High School

    Undergraduate College

    Graduate Professional

    Other (Specify)

    Indicate any foreign languages you can speak, read and / or write

    FLUENT

    GOOD

    FAIR

    SPEAK

    READ

    WRITE

    Describe any specialized training, apprenticeship, skills and extra-curricular activities.

    Describe any job-related training received in the United States military.

    Employment Experience

    Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicated race, color, religion, gender, national origin, disabilities or other protected status.

    1.

    Employer

    Address

    Telephone Number(s)

    Job Title

    Supervisor

    Reason for Leaving

    Dates Employed

    From

    To

    Hourly Rate/Salary

    Starting

    Final

    Work Performed

    2.

    Employer

    Address

    Telephone Number(s)

    Job Title

    Supervisor

    Reason for Leaving

    Dates Employed

    From

    To

    Hourly Rate/Salary

    Starting

    Final

    Work Performed

    3.

    Employer

    Address

    Telephone Number(s)

    Job Title

    Supervisor

    Reason for Leaving

    Dates Employed

    From

    To

    Hourly Rate/Salary

    Starting

    Final

    Work Performed

    4.

    Employer

    Address

    Telephone Number(s)

    Job Title

    Supervisor

    Reason for Leaving

    Dates Employed

    From

    To

    Hourly Rate/Salary

    Starting

    Final

    Work Performed

    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:

    Resume Upload

    Additional information

    Other Qualifications

    Summarize special job-related skill and qualifications acquired from employment or other experience.

    Specialized SkillsCheck Skills/Equipment Operated

    CRTPCCalculatorTypewriterFaxLotus 1-2-3PBX SystemMicrosoft Office

    Production/Mobile Machinery (list):

    Other (list):

    State any additional information you feel may be helpful to us in considering your application.

    Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING

    Are you capable of performing in a reasonable manner the activities involved in the job or occupation for which you have applied? A description of the activities involved in such a job or occupation is attachedYesNo

    References

    (Name)

    (Phone #)

    Applicant’s Statements

    I certify that answers given herein are true and complete to the best of my knowledge.
    I authorize investigation of all statements contained in this application for employment s may be necessary in arriving at an
    employment decision.
    This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant
    wishing to be considered for employment beyond this time period should inquire as to whether or not applications are
    being accepted at that time.
    I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship
    with this organization is of n “at will” nature, which means that the Employee may resign at any time and the
    Employer may discharge Employee at any time with or without cause. It is further understood that this “at will”
    employment relationship may not be changed by any written document or by conduct unless such change is
    specifically acknowledge in writing by an authorized executive of this organization.
    In the event of employment, I understand that false or misleading information given in my application or interview(s) may
    result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

    Signature of Applicant

    Date

    Nepotism Statement

    The Brownsville Navigation’s District’s “Policy on Employment of Relatives” states as follows:

    Purpose
    To prevent conflicts of interest and facilitate smooth and fair management.
    Policy
    No candidate for any position will be considered if they are a relative of a current employee of the District. No employee will be assigned or transferred to a position where the employee will supervise, or be supervised by, a relative, either directly
    or indirectly.
    If Employees in a supervisor-subordinate relationship marry, every effort will be made to transfer one of the employees to an assignment where one spouse will not supervise the other. If neither employee volunteers for the transfer, the Director of Finance and Administration may arrange an involuntary transfer. The decision whom to transfer involuntarily will depend on the importance of each job to the District and the availability of openings and of replacement candidates.
    Definitions
    “Relative” means here a spouse, child, parent, grandchild, aunt, uncle, first cousin, or corresponding in-law or “step-”relative.

    Statement of Applicant

    I certify that I have read the Brownsville Navigation District’s “Policy on Employment of Relatives”. I hereby state that I am not disqualified from employment with the District due to my being a relative of a current employee of the District.

    Applicant’s Signature

    Date

    Authorization for Background Check

    Please sign both statements below, indicating your authorization to release information to the Brownsville Navigation District.

    Employment Information:

    I authorize all former employers to furnish any information concerning my background and release them from all liability with their doing so.

    Applicant’s Signature

    Date

    Educational Information:

    I authorize all former educational institutions to furnish any information concerning my scholastic records and release the, from, all liability with their doing so.

    Applicant’s Signature

    Date

    Personnel Department

    FOR PERSONNEL DEPARTMENT USE ONLY

    Arrange InterviewYesNo

    Remarks

    Employed YesNo

    Date of Employment

    Job Title

    Hourly Rate / Salary $

    Department

    Name and Title

    Date

    NOTES

    FOR PERSONNEL DEPARTMENT USE ONLY

    Position(s) Applied For Is Open:YesNo

    Position(s) Considered For:

    Name and Title

    Date