Fill out the form below to apply for a job with Texarkana Resources Job Application Job Application Applicant Information Date Name * Name First First Last Last M.I. Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Phone * Email * Date Available Social Security Number Desired Salary Position Applied For: Are you a citizen of the United States * Yes No If no, are you authorized to work in the U.S. Yes No Have you ever worked for this company? * Yes No If yes, when? Have you ever been convicted of a felony? * Yes No If yes, explain Are you able to perform the "essential functions" of the job for which you are applying (with or without reasonable accommodation)? Driver's License: State: Have you entered into an agreement with any former employer or other party (such as a noncompetitive agreement that might, in any way, restrict your ability to work for our company?If yes, explain: Education Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying: High School Address From: To: Did you graduate? Yes No Diploma College Address From: To: Did you graduate? Yes No Degree Other Address From: To: Did you graduate? Yes No Degree If you are human, leave this field blank. Next
