Please Read Before Signing Application Form
By applying for this position and signing this application, I voluntarily authorize and grant full consent to Tejas or its agent to conduct a thorough investigation into my prior employment and any other area of my background,
including criminal background (regardless of adjudication) and driver’s license checks which Tejas believes to be relevant to my employment.
I do further consent to the release and disclosure to Tejas or its agent from any persons, companies, corporations or government agency any information sought concerning my background and do further release from liability Tejas or its agents for actions
taken in connection with this investigation, as well as any persons, companies and corporations or government agencies disclosing such information.
I understand that job offers extended by Tejas Insurance in some or all job classifications are conditioned upon successful completion of a physical examination by an authorized physician who will determine whether I can perform
the essential functions of the position offered, with or without reasonable accommodations. In addition, I voluntarily consent and agree to pre-employment drug testing and the results of the test to be released to Tejas Insurance.
I understand that if I fail the pre-employment drug test, Tejas may withdraw my employment offer. Furthermore, Tejas Insurance Agency will pay the cost of my physical examination and drug screening will be deducted from my final paycheck.
I acknowledge that any false information provided by me to Tejas may constitute grounds for immediate discharge, regardless of when the false information is discovered by Tejas. Similarly, I understand that my continued employment is contingent
on successfully passing a background investigation as determined by Tejas.
Any information discovered about me during this investigation, which was deemed by Tejas to be unsatisfactory, may constitute grounds for immediate discharge, regardless of when discovered.
Tejas Insurance Agency is an Equal Opportunity Employer. Qualified applications are considered for emplyment and treated without regard to race, color, religion, sex, national orgin, age, disability, marital status, sexual preference.
*YOU MAY INCLUDE A COPY OF YOUR RESUME IN ADDITION TO THIS APPLICATION.