ORDER NO. 19650 MOTION TO APPROVE HIRING LINDA KAY CONKER AS SECRETARY IN JUSTICE OF THE PEACE, PRECINCT #4 OFFICE On this the 12th day o£ July 1990, upon motion made by Commissioner Ray, seconded by Commissioner Baldwin, with Commissioner's Ray, Baldwin and Holekamp voting "AYE", Commissioner Morgan "ABSTAINING", and Judge Edwards voting "NAY", said motion to approve the hiring o£ Linda Kay Conner as secretary in Justice o£ the Peace, Precinct #4 0££ice at 86.00 per hour for a 30 hour week, effective June 25, 1990 was approved by a aa~ority vote. DATE TO: FROM: COMMISSIONERS' COURT Judge Ray Snider Person Requesting Budgetary Approval Justice of the Peace Precinct #4 SectionlDivision July 5, 1990 SUBJECT: [~ New Hire ^ Lateral Transfer EFFECTIVE: June 26, 1990 Date ^ Promotion ^ Merit ^ Demotion ^ Other wish t0 employ Linda Kay Conner Person AS a Conr / .lark SPCretary Tile of Position salary of X5.00 Grade/Step at a In accordance to Order No. 18631 approved April 27, 1989, the following documents are submitted for your approval: • The actual application for employment along with any letters of recommendations; • The written physical report signed by the doctor,(CK-05) with completed evaluation form signed by department head, and; • The Workman's Compensation Inquiry report (verbal to Department Head and followed up by written request.) CK-01 • PL AS F RNI HON ORI INA AND S V N nPl ~ OF THIS REOUESTAND D l1MFNTS TO BE R VI WFD BY THE crn RT MADE BY: - T„~gP Ray s,,;,~P,- OFFICE: T_p ~~ MEETING DATE: July 12. 1990 TIME PREFERRED: SUBJECT: (PLEASE 8E SPECIFIC): To the hiring of one Linda Kay Conner ESTIMATED LENGTH OF PRESENTATION: IF PERSONNEL MATTER -NAME OF EMPLOYEE: NAME OF PERSON ADDRESSING THE COURT: Judge P,ay Snider Time for submitting this request for Court to assure that the matter Is posted In accordance with Article 6252- 17 Is as fol lows: • Meetings held on second Monday: 12:00 P. M. previous Wednesday • Meetings held on Thursdays: S:oO P. M. previous Thursday. If preferable, Agenda Requests may be made on office stationery with the above Information attached. THIS REOUEST RECEIVED BY: THIS REQUEST RECEIVED ON: ~I~(~ ' ~/c7 @ ~' ; ~~ All Agenda Requests will be screened by the County Judge's Office to determine If adequate Information has been prepared for the Cour['s formal consideration and action at time of Court meetings. Your cooperation well be appreciated and contribute towards your request being addressed at the earliest opportunity. x s ~ a ~~~1 ~~ a0~r of ~ Application For Employment Follow instructions exactly. Fill out the application form completely. If items aze not applicable, enter "NA". Do not leave items blank. Resumes aze accepted for any additional information they contain but not in place of a completed application. Be sure to sign the application after completion. FFR Cl1N DT TIdTA_Print nratly nr ivnr• Name(Last, First, Middle) CONNER LINDA KAY Social Security Number 454-19- 514 Current Addr ss (PO.Bx St A t , City, State, Zip) HCR~ BOX 543E ~.0'IP 30 Kerrville, texas 78028 Home Phone (azea code & number) 512 895-2681 Permanent Address-if different (PO.Bx, St, Apt ,City, Slate, Zip) Work/Day Phone (area code & number) Type of Position Desired Clark Secretar Date Available Minimum Acceptable Salary Work Status Desired Have you ever been discharged ®Full Time ®Pazt-Time ^Seasonal by an employer? ^Yes ®No If es ex lain: If position you aze applying for requires the operation of a motor vehicle, do you have a current Texas Driver's License? ®Yes ^ No License Number: 12655431 ^ O erator ^Commercial ^Chauffeur Do you have relatives working for Kerr County? If yes, give names, relationships, and department ^ Yes ®NO employed EDUCATIONAL RECORD HIGHEST GRADE COMPLETED ^1^2^3^4^5^6^7^8^9^10^11 12 Did you graduate from high school/GED? ®Yes ^ NO If a degree or vocational or college credits are required to meet minimum qualifications for a position you are seekin a transcri t is re uired: Namool I ~ i ~ Mo. Yr. Mo. Yr. Earned Yes N De rce/Certificate of Stud Busi/'Tech/Voc Schools College-University Sem. Hrs Graduated? Graduate Schools Sem. Hrs. Graduated? CK-02 An Equal Opportunity/Affirmative Action Employer FMPLl1VMFNT RTi.!'l1R rl (`l1NTINItFiI Pasc 2 of 4 List any special course for the classification(s) organizations: work (include the number of for which you are applying. hours Also completed), training, or experience that qualifies you list memberships in relevant professional List current licenses/certificates/registrations (indicate types and dates received) Skills: List special skills and machines or office equipment printing/graphic equipment, data processing etc) you can use (adding machines, dictation equipment, Foreign Languages (List): Speak ^ Fair ^ Good ^ Excellent ^ Read Pair ^ Good ^ Excellent ^ Write Fair ^ Cood ^ Excellent ^ Fair ^ Good ^ Excellent ^ Fair ^ Good ^Excellent ^ Fair ^ Good ^ Excellent Militar Service - A co of a re ort of sc aration from the Armed Forces DD-214 ma he re uircd: Branch Dates of Service From To Are you in the Active Reserve? ^ Yes ^ No EMPLOYMENT RECORD; This information will be the official record of your employment accurately reflect all significant duties performed. You must provide all the information your qualifications to be evaluated properly. Add additional sheets as needed. history and must requested in order for 1. Include ALL em to ment. Be in with our resent or last osition and work back to our first osition. 2. Include volunteer work ex erience• write the word "Volunteer" beside our title. 3. List se aratel each osition held with [he same em ]o er, includin mili[ar service. 4. Give name listed on a roll records, if different from current name. Job Title Pressing From (mo/day/yr) Through (mo/day/yr) 4-23-90 6-25-90 Final Salazy $ er Name of prganiza ton Mayes ~ry Cleaning Address ((PO.Bx, S[, Apt ,City, State, Zip) 225 Td. Water Kerrville, Texas 78028 Phone (area code & number) 512- 257-7440 Full- Pazt -Time If art-time a roxima[e number of hours er week: Name of Supervisor Steve Woodcox Title of Supervisor Man Number and job types of employees supervised by you, if any (e.g. 3 managers, 2 technicians, 2 clerks): Reason for Leaving Hired on Describe [he duties of our osition in order of im ortance: F.MPi.fIVMF.NT RFC(1Ril C(1NTiNi1Rn Pa nr 3 of 4 Job Title houskeeping Froltl (r~to~y/yr) Thro~t-(mo/day/yr) 1lUU 23-89 Final Salary g 5.50 cr Name of Organization La Hacienda Address (PO.Bx, St, Apt ,City, State, Zip) Phone (area code & number) Full- Pazt -Time if art-time, a roximate number of hours er week: Name o~QrRia ~~uting Title of Supervisor Houskee in Number and job types of employees supervised by you, if any (e.g. 3 managers, 2 When su ervisor was not at work I was in char e technicians, 2 clerks): Reason for Leaving Describe the duties of our osition in order of im ortance: Clean Rooms of pat. Chean Offices Job Title, Nuses Ai~e~ From (mo/day/yr) Through (mo/day/yr) 12- 12-87 4-19-88 Final Salazy $ 375 er Name of Organization Address (PO.Bx, St, Apt ,City, State, Zip) Hillto Nursin Home Hillto Dr. Kerrville Texas 78028 Phone (area code & number) 512-895-3200 Full- Part -Time If art-time, a roximate number of hours er wcek: Name of Supervisor Title of Supervisor Number and job types of employees supervised by you, if any (e.g. 3 managers, 2 technicians, 2 clerks): Reason for Leaving Pre anc Describe the duties of our osition in order of im ortance: PERSONAL DATA: Do you have any existing physical or medical conditions or disabilities that would interfere with your ability to perform the job for which you have applied for? ^ Yes ®No If yes, please explain: ------------------------- ---------------------------------------- Have you ever filed a Workers' Compensation claim? If yes, please explain: _____________________ Have you ever been convicted of a crime? If yes, please explain: __________, ^ Yes ~ No ^ Yes ®No EMPLOYMENT RECORD CONTINUED Pagc 4 of 4 Please list 3 names of individuals willing to provide character or professional references: Name Address Telephone # Relationship __ Melissa Whitten 3rd St. Ingram, Texas 512-367-5129 Friend ---- ------------ Kahty Walker Harper (work) 257-7440 Aunt Kathy Jung 1705 Citation Corpus Christi, Texas 854-7068 Friend Please read the following statements carefully and indicate your understanding and acceptance by signing your name in the space indicated. 1. I certify that the foregoing statements as well as those on any attachment(s) to this form are to [he best of my knowledge true and correct and that they aze given of my own free will. 2. I understand that any misstatement (s) or omission(s) of material facts will constitute grounds for unfavorable consideration or dismissal from employment. 3. I understand that former employers and educational institutions may be contacted for employment and educational information. 4. I understand that Kerr County may contact my current employer for employment information before making a binding offer of employment. 5. I understand that if employed, I will serve an initial probationary period. 6. I understand that any omissions of material facts or any false information that I give to obtain past, present, or future county (KERR) benefits may result in unfavorable consideration or dismissal from employment. 7. I understand that before I can be employed by the County, I must show proof of identity and U.S. citizenship or authorization to work in the U.S. (e.g. driver's license, and either a social security card or a birth certificate). APPLICATION MUST BE SIGNED:~Y7_1 ~ l.6!_~ ~/~~~~ _ _ __ /_ J= IGNATURE-APPLICANT DATE COUNTY OF KERB APPLICATION SUPPLEMENT Please provide the following information, which will be used for internal tracking, statistical purposes and reporting to government regulatory agencies only. This page will be separated from your application, and will in no way be used in consideration of your application for employment. Kerr County is an Equal Opportunity Employer, and does not discriminate because of sex, age, race, color, disability, national origin, religion or sexual orientation. Social Security Number: Name (Last, First, MI): Address (Street Address) City, State, Zip Home Phone ( 512 ) Are you a U.S. Citizen? Please Check One: -----454-L25148---------------------- Conner Linda HCR 5 Box 543B Lot 30 Kerrville, Texas 78028 895-2681 Alternate Phone A. White Male F. Hispanic Female B. _~ White Female G American Indian/Aleutian Male C. Black Male H. American Indian/Aleutian Female D. Black Female I. Asian/Filipino/Male E. Hispanic Male J. Asian/Filipino/Female Disabled: Yes X No (Please indicate the nature of your primary disability) A. Hearing Impaired D. Speech Impaired B. Mobility Impaired E. Other (Specify) C. Vision Impaired Are you currently, or have you previously been employed by the County? Yes R No If yes, when? What led you to apply with the County (Check One) 1. 2. 3. 4. 5. 6. Slopped in to check on available jobs ~- Referred by a County Employee Referred by an employment agency Responding to an advertised vacancy Referred by T.E.C. Other (Please List) Please indicate below the title of each position for which you are submitting an application today: Job Title ('.1 ark ~_SnLty SPC"r arv _ 4. 2. 3 Department 5. 6. CK-03 FILE SEPARATELY FROM APPLICATION KERB COUNTY MEDICAL REPORT (APPLICANT'S COPY) /\ I> ~~J. a lice sed physician, hereb certify that I have n this date, m dically examined ;-- 1 QR~ t//Oy and find him/her to be in sound physical condition and free from any physical defects that could revent or adversely affect the performance of his/her duties as Date natu•Ph sician • ~ y ~` Physician's License Number PLEASE GIVE THIS PORTION TO APPLICANT TO BE RETURNED TO KERB COUNTY DEPARTMENT HEAD. CK-05 PROSPECTIVE EMPLOYEE MEDICAL EXAMINATION FORM FOR KERR COUNTY APPOINTMENT TIME: f I -rn DATE: ~ ~ `(~ NAME OP APPLICANT: (. 'CUU,LQ~ DEPARTMENT INTERVIEWED FOR: POSITION INTERVIEWED FOR: ~,Q. TYPE OF POSITION: DESK JOB: LABORER'S JOB: SPECIAL TESTING: ON BLOOD TEST (DEPENDS MEDICAL HISTORY) /I ~ URINALYSIS IV ] ) h X-RAY -BACK JU I IY' X-RA1' -CHEST (DEPENDS ON MEDICAL HISTORY ~~/~ DRUG TESTING: YES: IU NO: JN ~~ APPLICANT'S SIGNATURE FOR CONSENT OF DRUG TESTING X TAKE FORM TO: Df2. GEORGIA ROTH, Ll. D. 1105 E. \tAiN t:ERRVILLE, TEXAS 78C: R (~t'_-? -'~%-6:?I' FROM: t:ERR COUNTY BY: TITLE: AFTER MEDICAL EXAM IS COMPLETED, PLEASE RETURN PHYSICIANS' TEST RESULTS TO THE KERR COUNTY COURTHOUSE, 700 MAIN STREET, KERRVILLE, TEXAS 78028 ATTN: OP.DER N0. 19650 P4OTION TO APPROVE HIRPIIG LIlWA KAY CONNER AS uECRETARY IN JUS'iICE OF THE PEACr~, PRECINCT #4 OFFICE July 12, 1990 Vol. R, Pg. 905