BRAZORIA COUNTY APPRAISAL DISTRICT
ANGLETON, TEXAS
APPLICATION FOR EMPLOYMENT
It is the Brazoria County Appraisal District's policy to provide equal opportunity in all of its operations and in all areas of employment
practice and to assure that there shall be no discrimination against any employee or applicant for employment on the grounds of race,
color, religion, sex, national origin, or age.
___________________________________________________________________________________________________________
PERSONAL INFORMATION
Date __________________________________
Social Security # _____________________________________
Name _____________________________________________________________________________________________________
Last
First
Middle
Mailing Address ____________________________________________________________________________________________
Street
City
State
Zip Code
Permanent Address __________________________________________________________________________________________
Street
City
State
Zip Code
Telephone __________________________
Are you over 18 years of age? [ ] No
[ ] Yes
Referred by _____________________________________
If related to anyone in our employ, state name:
Relationship: ______________________
EMPLOYMENT DESIRED
Type of work desired ______________________________
Date you can start ___________
Salary Desired $
Are you employed now?___________
If so, may we inquire of your present employer? ______________
Ever applied to the district before?_________ Where
When
EDUCATION
List in order the names and locations of High School,
From
To
Grade Level
Nature of
Colleges, or Trade School attended
(Mo. & Yr.)
(Mo. & Yr.)
Achieved
Course
List additional Technical Training such as TAAO Courses. Also, list any professional designations from a professional association of
assessors or appraisers.
C.T.A.
Date Certified
Number
R.P.A.
Date Certified
Number
D
N
U
T
S
O
OT
SE
HIS
PACE
S.R.A.
Date Certified
Number
Other
Date Certified
Number
Completed Courses (If certification not yet attained.)
Date
SKILLS
List below any additional special training or work experiences you may have. Such as: drafting, electronics, keypunch, computer,
shorthand, speed writing, etc.
What language, other than English, do you fluently:
Speak
Read
Write