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Service Providers
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Customer Service:
(512) 261-6222 x110

Open House, March 27-31: Conversation Starters at 10am and 2pm daily →

Job Application

Job Application

Step 1 of 4

25%

Position(s) Applied For*
Date of Application*
Date Format: MM slash DD slash YYYY
How Did You Learn About Us?
- Advertisement
- Employment Agency
- Relative
- Friend
- Inquiry
- Other
Other Source
Name*
First Middle Last
Address*
Street Address Address Line 2 City State Zip Code
Phone*
Email*
Social Security Number
(voluntary)
Best Time to contact you at home is:

: HH

MM
If you are under 18 years of age, can you provide required proof of your eligibility to work?
- Yes
- No
Have you ever filed an application with us before?
- Yes
- No
If Yes, give date:
Date Format: MM slash DD slash YYYY
Do any of your friends or relatives, other than spouse, work here?
- Yes
- No
Are you currently employed?
- Yes
- No
May we contact your present employer?*
- Yes
- No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
- Yes
- No
Proof of citizenship or immigration status will be required upon employment.
Date available for work:
Date Format: MM slash DD slash YYYY
What is your desired salary range?
Are you available to work*
- Full Time
- Part Time
- Temporary
Please indicate part time hours of availability
- Morning
- Afternoon
- Evening
Available for Temporary Work From
Date Format: MM slash DD slash YYYY
Available for Temporary Work To
Date Format: MM slash DD slash YYYY
Are you currently on “lay-off” status and subject to recall?
- Yes
- No
Can you travel if a job requires it?
- Yes
- No

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Education
Elementary School
Address
City State
Years Completed
Diploma/Degree
High School
Address
City State
Years Completed
Diploma/Degree
Undergraduate School
Address
City State
Years Completed
Diploma/Degree
Course of Study
Graduate School
Address
City State
Years Completed
Diploma/Degree
Course of Study
Other School
Address
City State
Years Completed
Diploma/Degree
Course of Study
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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Employment Experience
Employer 1
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Employed From
Date Format: MM slash DD slash YYYY
Employed To
Date Format: MM slash DD slash YYYY
Reason for Leaving
Starting Hourly Rate/Salary
Ending Hourly Rate/Salary
Work Performed
Employer 2
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Employed From
Date Format: MM slash DD slash YYYY
Employed To
Date Format: MM slash DD slash YYYY
Reason for Leaving
Starting Hourly Rate/Salary
Ending Hourly Rate/Salary
Work Performed
Employer 3
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Employed From
Date Format: MM slash DD slash YYYY
Employed To
Date Format: MM slash DD slash YYYY
Reason for Leaving
Starting Hourly Rate/Salary
Ending Hourly Rate/Salary
Work Performed
Employer 4
Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Job Title
Supervisor
Employed From
Date Format: MM slash DD slash YYYY
Employed To
Date Format: MM slash DD slash YYYY
Reason for Leaving
Starting Hourly Rate/Salary
Ending Hourly Rate/Salary
Work Performed
If you need additional space, please continue on a separate sheet of paper.
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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Additional Information
Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
Specialized Skills
(Check skills/Equipment Operated)
- Terminal
- PC/Mac
- Typing
- Spreadsheet
- Word Processing
- Shorthand
- Production / Mobile Machinery
- Other
- Typing Words Per MInute
- Shorthand Words Per MInute
Production/Mobile Machinery
(list)
Others
(list)
Additional Information
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.
Can you perform
Can you perform the essential functions of the job, for which you are applying, either with or without a reasonable accommodation?
- Yes
- No
References
Reference 1
Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 2
Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 3
Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Applicant’s Statement
I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as 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 an “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. 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*
Date
Date Format: MM slash DD slash YYYY
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.

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Lakeway Municipal Utility District

1097 Lohmans Crossing
Lakeway, TX 78734-4459

Monday thru Friday
8:00 am- noon and 1:00 pm - 5:00 pm
Closed Holidays (see complete list)

(512) 261-6222 x110
(512) 261-2800 (after hours emergency)
(512) 261-6681

CustomerService@lakewaymud.org

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