The Mission of Bluebonnet Trails Community MHMR Center is to ensure the provision of accessible, efficient and effective services that support the dignity and independence of those we serve.

24-Hour Crisis Hotline: 1-800-841-1255

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Online Job Application

POSITION DESIRED & QUALIFICATION Positions I Qualify For: Position Applying For:     
Last Name: First Name: Middle Name: Email: Address: City: State: Zip:   PERSONAL INFORMATION Home Phone: Work Phone: Cell Phone: Ext:
*Please enter phone numbers in the format "(123) 456-7890".
Text entries in phone number fields will not work.
Convictions(Check if yes): Conviction Description:                          
   
List any other names if different from name given on application.
Referred By:
Date Available For Work:
Do you have a Valid Texas Driver's License?
Do you have any relatives working for Bluebonnet Trails Community MHMR Center?
If yes, list names, relationship and location where employed.
Military Service (Dates of Service)
(A copy of a report of separation from the Armed Services may be required)
Are you a surviving spouse or orphan of a veteran?

 
EDUCATIONAL INFORMATION Graduation from High School (GED): Name of High School: Colleges Attended: First Degree Earned: First Degree Date: Degree Speciality: Second Degree Earned: Second Degree Date Degree Speciality: Third Degree Date: Degree Speciality: Third Degree:   (Separate with a comma)     Other Degrees: Other Type of School: Other Training: Foreign Languages: Typing WPM: Sign Language: Related Experience: Special Certifications:  
EMPLOYMENT INFORMATION Company Name: Address: Hire Date: Termination Date: Reason For Termination: Supervisor: Salary (Start - End) Job Duties Work Phone Number Add Another Employer  





















REFERENCES Name of Reference: Name of Reference: Name of Reference: Address: Address: Address: Phone: Phone: Phone: Email Address: Email Address: Email Address:            
 
PRE-EMPLOYMENT STATEMENT
I voluntarily give the Bluebonnet Trails MHMR Center the right to make a thorough investigation of my past employment and activities and release from all liability or responsibility all persons, companies or corporations supplying such information.

I consent to taking the pre-employment drug screen and agree to comply with the Center's safety rules.

I further understand that any false answers or statements made by me on this application or any supplement thereto, or in connection with the above mentioned investigation, will be sufficient grounds for immediate discharge.

The Bluebonnet Trails MHMR Center ia an equal opportunity - affirmative action employer and shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, disability, marital status, or national origin unless based on a bona fide occupational qualification.

Bluebonnet Trails Community MHMR • 1009 North Georgetown Street • Round Rock, Texas 78664 • 512-255-1720
For more information on the Bluebonnet Trails Community MHMR, please contact info@bluebonnetmhmr.org