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Contact Information

500 E. San Antonio
Suite 302A
El Paso, Texas 79901
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countychiefadmin@epcounty.com

Application for Veterans Advisory Board

Name:
Voting Precinct:
Home Address:
Street: City:
State: Zip:
Phone Number: Cell Phone Number:
Email Address:
PURSUANT TO TEXAS GOVERNMENT CODE, SEC. 522.021. I ELECT THAT MY HOME ADDRESS & TELEPHONE NUMBER (CHECK ONE): MAY BE RELEASED / SHALL NOT BE RELEASED TO THE PUBLIC UPON REQUEST UNDER THE TEXAS OPEN RECORDS ACT. FAILURE TO MAKE A DESIGNATION RESULTS IN INFORMATION BEING AVAILABLE FOR PUBLIC ACCESS.
Place of Employment:
Business Address:
Telephone:
Fax Number:
Professional Background:
Educational Background:
Three (3) personal or proffessional references not related to you:

Name

Phone

Years Known

Name

Phone

Years Known

Name

Phone

Years Known
Previous volunteer organizations and/or community service:
Are you a Veteran or Spouce of a Veteran? (Yes) (No)
Length of Residency in El Paso County: (Years/Months)
Do you have property in El Paso County under your name? (Yes) (No)
Are your property taxes currently paid? (Yes) (No). If not, please give a brief explanation:
Are you an elected officer, county employee, county affiliate, or employed as a lobbyist? (Yes) (No)
If so, please specify.
Signature: Date:

BACKGROUND INVESTIGATION AUTHORIZATION FORM
RELEASE OF CONFIDENTIAL INFORMATION

Dear Applicant:

The County of El Paso conducts background investigations on applicants in various departments. This effort is part of the selection process and requires your authorization. By signing this document you acknowledge that you are voluntarily granting permission to the County of El Paso to conduct a background check and you authorize relevant parties to release confidential information. The information will remain confidential and will not be disclosed.
I,, further hereby authorize the County of El Paso Human Resources Department to obtain all confidential records and information pertaining to a complete background investigation. This may include items such as (but not limited to): personal references, work references, Police Records, Sheriff Records, Driving Record, and any open record request.

Full Legal Name

Maiden Name (If Applicable)

Street Address

City/State/Zip Code

Social Security Number

Driver’s License Number/State

Date of Birth

Email

List the cities and states in which you have lived in the past 10 years.

1. 2.
3. 4.
5. 6.
Signature of Applicant: