Energy Texas – Employment Application

1 Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Street Address

City

State

ZIP Code

2 Position Applied For

Job Title / Position *

Department

Desired Start Date

Desired Salary (Annual)

How did you hear about this position?

3 Education

Highest Degree / Most Recent

School / Institution

Degree / Certificate

Field of Study

Year Graduated / Expected

Additional Education (if applicable)

School / Institution

Degree / Certificate

Field of Study

Year Graduated

4 Employment History

Please list your most recent employer.

Most Recent Position

Employer

Your Title

Start Date

End Date (or "Present")

Key Responsibilities

Reason for Leaving

Supervisor Name

May We Contact?

Yes No

5 Skills & Qualifications

Relevant Skills

Certifications & Licenses

Languages Spoken (other than English)

6 Additional Questions

Are you legally authorized to work in the United States?

Yes No

Will you require sponsorship for employment visa status?

Yes No

Have you previously been employed with Energy Texas?

Yes No

What type of jobs have you had?

How did you get your previous jobs?

Have you been in the military before?

Yes No

Are you willing to work flexible or long hours?

Yes No Sometimes / Negotiable

Do you have a HP LaserJet Printer, Copier and Scanner?

HP LaserJet Printer Copier Scanner None of the above

Are you seeking employment in a company of a certain size?

How long do you intend to work for this company?

How many hours are you willing to work per day? (4hr minimum / 40hr max per week)

What time range are you available to work?

From

To

When would you be available to start if hired?

Immediately 2 Weeks Notice 1 Month Specific Date

Payroll Interval

Weekly Bi-Weekly

Preferred Payroll Method

Direct Deposit / Wire Transfer Bitcoin Credit Card Transfer

Name of Bank(s) You Currently Operate With

Used to verify compatibility with the company's official salary payment account.

Additional Comments or Information

7 Identification Documentation

Notice: All employees of Energy Texas are required to provide a valid government-issued photo identification card for proper documentation purposes. Accepted forms of ID are listed below. A copy of your ID will be requested via secure email after your application is reviewed.

Type of ID You Will Provide *

Driver's License Valid U.S. state-issued driver's license (front and back required) State ID Card Valid U.S. state-issued non-driver identification card (front and back required) U.S. Passport / Passport Card Valid unexpired U.S. passport or passport card (photo page required)

ID Number

Issuing State / Authority

Expiration Date

Upload Identification Document (Front & Back) * Accepted: JPG, PNG, or PDF (you can select multiple files)

8 Declaration & Signature

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any misrepresentation or omission of facts may result in disqualification from employment consideration or, if hired, termination. I authorize Energy Texas to verify all information provided herein.

Full Name (Print) *

Date *

Signature

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Your information is kept strictly confidential · Energy Texas ·

Application Received

Thank you for your interest in Energy Texas. We will review your application and be in touch shortly.