ORDER NO. 20248
APPROVAL OF THE HIRING OF MICHELE SCHNEIDER
A5 TI"1`L~: %LERK IN THE T'AX A5SE5SOR/COLLECI'UR'S UFF'ICE
On this the 13th day of May 1991, upon motion made by
Commissioner Morgan, seconded by Commissioner Lackey, the
Court unanimously approved by a vote of 4-0-0 to approve the
hiring of Michele Schneider as i'itle Clerl: in the Tax
Assessor/Collector's Uttice, effective April 24, 1991 at Pay
Vroup 10, Step `:', 512, 907. 00 annually, S1, 075. 62 monthly, and
5537.81 semi-monthly.

pplCA~ AEp~R~ at I
KERB ~pUN~Y M eb certify th
and
~~t by sic-an ~ h
pLICANTS C~pY, a licensed ~ sical defects that
~pP ~~ from any phy
~ examined ~`f/e duties as
1 te, med1Cally ical °°ndition an e rtf hisf her
this ° be in sound Phys erf°rmanC
have ° t the P ,
him~her t ,
find t °r adversely aff r
°4uld Prev ~~~~~.~~~

,~"
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ember
License

pate physicians UNTY DEpA~TMENT
T~~NE~ Ta KERR C~ ,,'''
AppLICA~T TQ EE RE
iVE THIS ~°Rj10N T°
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TEXAS WORKERS' COMPENSATION COMMISSION
200 East Riverside, Austin, Texas 78704-1287
X512) 448-7934
WAIVER OF CONFIDENTIALITY
I understand all information in my worker's compensation file(s) is confidential under the Texas Worker's
Compensation Act. However, I hereby waive any such right of confidentiality and authorize the information
outlined below from my records to be released to the undersigned employer for a period not to exceed fourteen
days from the date of application for employment.
SECTION 2.33. INFORMATION AVAILABLE TO PROSPECTIVE EMPLOYERS. (a) When a person applies for
employment, the prospective employer who has workers' compensation insurance coverage is entitled, on
compliance with this chapter, to obtain information on the applicant's prior injuries. (b) The employer must
make the request by telephone or file the request in writing not more than 14 days after the date on which the
application for employment is made. (c) The request must include the applicant's name, address, and social
~- security number. (d) Tre employer must obtain written authorization from the applicant before making the
request. (e) If the request is made in writing, the authorization shall be filed simultaneously. If the request is
made over the telephone, the employer shall file the authorization not later than the 10th day after the date on
which the request is made.
THIS FORM MUST BE FILLED OUT COMPLETELY AND NOTARIZED TO COMPLY WITH THE LAW
Telephone YE NO i
4 2 /91 '
--- ------- ---------------
Date f qu st - ust Circle One)
Sig ature
1Paula Rector, Tax Assessor-Collector
-----------------------------
Requester's Full Name and Title
2. 74-6001494
Federal Tax I.D. Number
Paula Rector
3. _Kerr Counl~Tax Off ice__________
Employer's Full Name
4, _ 7 00 M_ain_S_t .
Strew- Addsesse i
_Kerrville, ___ Tx_ _______78028 ___
City State Zip
5, 4/19/91
Date o Application ---
Signature
g. Michele Marie Schneider
------------------------------
Print or Type Applicant's Full Name
7. 467 - 11 - 8765
--------- ------ -------------
Social Security Number
g. 500 Eric Dr.
Street Address
Kerrville Tx. 78028
-------------------------------
~i ~ ~,•~~~-•- :~P6•S~'a~'~41.. i~v~~:-ji'b-.~ { VI~ 4'Yf IIIVf~
~'r t_:..F..jtpyY ~.f~J lVI~Ct~i~~-TIO~i
IF REQUESTED BY PHONE THIS FORM MUST BE RECEIVED WITHIN 10 ~AY'S "I~ THE
COMMISSION'S AUSTIN OFFICE.
*,: ......................~,*~.~.,~,t*,~,~,:.......*,.,.,,,.t~pR*2~199i**.,.,
STATE bF TEXAS §
COUNTY OF KERB § TEX~4S WpRKERS CdMPENSgrIpN
CpM ISSION -~~„STIN
SWO AND SUB CRIB TO BEFORE ME THIS~_ day of ~ , 19 7/_
-- - - -- ----------------------------------------------
Signature of Notary Public Printed Name of Notary Public
My Commission Expires:
R-12 (Rev. 4-90)
CK-06
(Seal}
~,~,• THF~ SQYIt.
Kerry pubre. s,tatae otTe~oat
- ~~~~
~'•~ian'~ JANUARY 9, 1995
~_
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Application For Employment
~ • ` i',
Follow instructions exactly. Fill out the application form completely. 1'f items aze not applicable, enter "NA".
Do hot 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. •
PERSONAL DATA-Print neatly ~r tvne~ ~•
'Name	Last, First, Middle) ~	Social Securit Number
~ '7 - l - 710 -
Current Address (PO.Bx, St, Apt , City, State, Zip)
.500 • C P " i ( 0<~	Home Phone (area code & number)
/.^ (; ~~~''S 3
Permanent Address-if di ferent (PO.Bz, St, Apt ,City, Slate, Zip)	Work/Day Phone (area code & number)
--
Type of Position Desired
~ ~	Date Available
`~ - --	Minimum Acceptable Salary
e o t,' h I e,
Wor Stat s Desired ~ Have you ever been discharg-ed/
ull Time ^ Part-Time ^Seasonal ~by an employer? ^ Yes G~' No
If es exvlain•
If position you are applying for requires the operation of a motor vehicle, do you have a current Texas Driver's
License? Yes ^ No License Number: ~ ~ 0 5~9 7 9
O erator ^Commercial ^Chauffeur
Do you h~ave~ relatives working for Kezr County? If yes, give names, relationships, and department
^ Yes t1! NO employed
EDUCATIONAL RECORD ~C o // u.lf'l ~ ~ << • O - GS
HIGHEST GRADE COMPLETED t u
^1^2^3^4^5^6^7^8^9^ 10^11G~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:
Name of School	Location				~		
		Mo. Yr.	Mo. Yr.	Earned	Yes N	De ree/Certificate	of Stud
BusilTe,chlVoc.. Schnois.. ,.,.,,						
						
						
College-University			Sem. Hrs	Graduated?		
						
						
Graduate Schools			Sem. Hrs.	Graduated?		
						
						
CK-02 An Equal OpportunitylAffirmative Action Employer
EMPLOYMENT RIJCORD CONTINiIF.n
n•,~~ •.
List any special course work (include the number of hours completed). training, or experience that qualifies you
for the classification(s) for which you are applying. Also list memberships in relevant professional
organizations: ~ ,~ i 5~0.~ ~ 6 f1 Ct_SS 5 f Gt.r1 f- o ~ ~ ~° ~ =-(--GZ_;ti ° S
Vc~~x2 ~ ~ r L fIeC7-~ v1 ~~ 0, ~~ ~ ~.
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List' current, licenses/certificatesjregistrations (indicate types and dates received)
Skills:
List special skills and machines or office equipment . you can use (adding machines, dictation equipment,
printing/graphic equipment. data processing etc) ~f7 ~e ~ ~~ - fb ~,Le hr ~o~ryi;pt,~}-~.r c~~~-~G~

Foreign Languages (List):	Speak	Read	Write
	^ Fair ^ Good ^ Excellent	^ Fair ^ Good ^ Excellent	^ Fair ^ Good ^ l;xcciient
	^ Fair ^ Good ^ Excellent	^ Fair ^ Good ^Excellent	^ Fair ^ Good ^ Excellent
Militar Service - A co of a re ort of se aration from the Armed Forees DD-214 ma be re wired:
Branch Dates of Service Are you
i~ the Active Reserve?
,
From Ta ^ Y c s 4,1' N ~
EMPLOYMENT RECORD; This information will be the official record of your employment history and must
accurately reflect all significant duties performed. You must provide all the information requested in order for
your qualifications to be evaluated properly. Add additional sheets as needed.
1. Include ALL em to ment. Be in with our resent or last osition and work back to our first ositioci.
2. Include volunteer work ex erience• write the word "Volunteer" beside our title. •
3. List se aratel each osition held with the same em to er, includin militar service.
4. Give name listed on a roll records, if different from current name.
Jola,Tille	From (mo/dayJyr) Through (mo/dayJyr) Final Salazy
		
Name of Organizatio	Address (PO.Bx, St, Apt ,City, St
te, Zip)
a
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~~.%`7Phone (area code & numb
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Full- Part -Time ~	If art-time a roximate number of hours er week:	
Name of Supervisor	Title o Supervisor ~~~	
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Number and job types of employees supervised by you, if any (e.g. 3 managers. 2 technicians, 2	clerks):
Reason for Leaving
0 U e c~	
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fc~
Describe the duties of our osition in order of im ortance:	
~..~o. ~~t~.u (~ Ce~c,~.r~ ,~,CCe; v~ l e, ~5~e~-~ c~.r ~j; /~i ~J~~ frl~
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-._..e l.Z~`i~"t'_~,p From (rnoJday/yr) Through (mo/day/yr) Final Salary
Name ~f Or anizacion Address (PO.Bx, St, Apt ,City, State, Zip) ~~~~ Phone (area code & number)
/~ ~~ fir, fi~ 7n ~~ (' ~- ~ r° cI ~ ~`v e. - -/ ~ ~ .~ , ntn .~ /~ - ~~• -3~
' Full- Part -Time If art-time, a roximate number of hours ~ er week: ~
Name of Supervisor Tide of Supervisor
p C ~ r - ~ ~ ~~ ~ ~ 1, ~ ~ SE'S 6 ~ ll r' ~~: ,~
Number and job types of employees supervised by you, if any (e.g. 3 managers, 2 technicians, 2 clerks):
Reason for Leaving
Describe the duties of our osition in order of im ortance:
f ~feP_ ~e~ S~f'!,~fi`a-~ ..~ ~ S f~ !? t- ~'o li ~ c t i ~~~ ~Y'0~~-~' t y ta~X e_S Gt..I~C~ ~ SS! c ~r
ta,~ ~,e-fie;, P-ts, ~'1o~R. b~t?1~ ~ ~ ~ /,~cc.t~s~ r,~ ~~ t-i fie tPfl`/1S-F~l'/'- r,~, '~
~N~ l' ~/?0~ G11: n ~ ~,'ecYtS ~ 5 , G XPe~ r e/?c e 6'~ T2l~e U ~ ~~e.o ~ 1~?,a u~~`'
G~'I~t- P/~~ j~ %"~~' ~ C~Sfi"o ~-i~t~~. T~,'r~~~ /0 ~' ~ bl/ ~-C~`~ ~ f, l 1 ~~ ~
~'~511 i ~ ~ ; ~fi, ~ ~-~.S G!J e r , ~~- ~ lr v~'I BPS
Job Title From (mo/day/yr) Through (mo/day/yr) Final Salary
Name of Organization Address (PO.Bx, St, Apt ,City, State, Zip) /I $0(p ~ Phone (area code & number)
~ Full- Part -Time If art-time, a roximate number of hours er week:
Name of Supervisor t Title of Supervisor
i~ ~' ® S ~ ° ~-'
Number and job types of employees supervised by you, if any (e.g. 3 managers, 2 technicians, 2 clerks):
Reason for Leaving
~~ ~~ o-F
Describe the duties of our osition in order of im ortance:
~~ r ~~,o~d, ~m m ~ 55 r m~ R.ePoRts . ~~~a ~ I ~ Q,~e~l,~.~ -~-5 a~b ! e . ]~~~
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 ~ `10
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 0
^ Yes No
.~
c~k'__
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 the best of
my knowledge true and correct and that they are 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 (KERB) 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:~~ s~-% O _ ~ __ _~_ 4 ~ ~~ _
SIG ATURE-APPLICANT DATE
.:..case ..s: ~~ n.~.mcs o: :.nc.:.v..c.ua'.s wi:...:.ng to provica.e character or pro'css:.ona', rc.Ccrcnccs:
dame Address '~ ~(~~~~ Telephone # Relationship
flRi)ER ~' 26248
~~, OF
ApPR~~ ~ IT 'I'LK Q~
Ts~~~~~~oz~°
May 13~ 1991
~~~
IN `~
0~1~
228
Vol. S~ pg'