f::.14'f FtLtUf-iL. Of f-il:f+]IVc, [a;illE:.Fi k. Ciife:L-i a'
l~C)i~il°1 L ':Ol`dfi_I~:iy CUI le i I:+Gi1~'C'T~'r
Ihd Tf-I~. GDUhJ 1 Y CL_Efif'" ci OP FiCG
On 'I;hia; tide i3tl_i d<ay nt .7~..~1y t391y ~-rprn matit,u in:1~:Ir~, .iy
L.oinmr.ss~.or~er~ N~~Leltamp, seconded try i~c,mmissioner Uel-;l.er, 't r
t:oitr~"l: unanimously approved 3-0-0 th~_ i-i:i."~ r.r-.y o L=.ci~~ar f.
t - ~ is ~..; I.: .. ~.. i , ..... .. -.,. ~ s. cit
b ~~4 Y"'~i lrl .rle ~_Ol.(n I.: r'I-;~ .., Li ~'fl. iI i:'y c'I"'!'rar-i.: 1. Vf? ..J t.l .ly .Ly 1'Cf Jl
I-"c'~`f L•.i t"{iil~! i:i, -T, eEi Ly 'T l.D, i._iL~, PII[I ~.ri it li ii L)`/n $:.y ~.. ~.~ niOYit t'~l. '~y
grid `k~=.; 1. ~• % ;:=m:i.-m:;rttY~,1y.
COMMISSIONERS' COURT AGENDA REQUEST ~~
• PI EASE FURNISH ONE ORIGINAL ANDN CnPI s nF THIS R OU 4T AND D JM NTS
TO DE R[VIEWED DV T-lit COURT
NIAUE BY: Patricia Dye OFFICE: Kerr County Clerk
P1EETING DATE: July E, 1991 TIME PREFERRED:
SUBJECT: (PLEASE BE SPECIFIC): Approval of Hiring Esther x. Garza effectivcz.
July 1, 1991 at a 15/1-annual salary $16,120-monthly $1,343,33. She is
replacing Tommie C. Ruston as Commissioners' Court Deputy.
ESTIMATED LENGTFI OF PRESENTATION:
IF PERSONNEL MATTER -NAME OF EMPLOYEE:
NAME OF PERSON ADDRESSING 7HE COURT:
20 minutes
Esther' R. (:aroma
Patricia Dye
Time for submitting this request for Court to assure that the matter Is posted In
accordance with Article 6252-a 7 Is as follows:
• Meetings held on second Monday: 12:00 P. M. previous Wednesday
• Meetings held on Thursdays: 5:00 P. M. previous Thursday.
If preferable, Agenda Requests may be made on office stationery with the above
Information attached.
TIiIS REQUEST RECEIVED BY:
THIS REQUEST RECEIVED ON:

All Agenda Requests will be screened by the County Judge's Office to determine
adequate Information has been prepared for the Court's formal consideration and action
time of Court mee[Ings. Your cooperation well be appreciated and contribute towar~
your request being addressed at the earliest opportunity.
..y '
f
o` ~~.
n
Application For Employment
Follow faswc8ona exactly. Fill out the application form completely. If items are not applicable, enter 'NA'.
Do not leave items bleak. Resumes are accepted for any additional information they contain but not in place of a
eompletcd application. He alas to sign the application after completion.
(Current Ad eaa jP0 x, St, Apt , City, S e, Zip) Home Phone (area coda & number)
~{ E ~E _ /a ~ -a-a
'Permanent Address- different (PO.Bx, St, Apt .City, fate, Zip) Work/Day Phone (area code & numbcr)
Type f Position Desired Date Available Minimum Acceptable Saiary
a u ~ r
Work Status Desired Have you ever been discharged
Full Time pPart-Time OSeasonal by an employer? ^ Yes ~ No
If es ex Lain:
If position you ace applying for requires the operation of a motor vehicle, do you have a current Texas Driver's
Licenser 1$f Yes ~ No License Numher /J k~/~~~
jDo you have relatives working for Kerr County? If yes, give names, relationships, and department I
~ Yes ~ NO employed
^ 1 ^217304[150607L78~90 10^ 11 !~ 12
Did ou raduate from hi h achool/GEDT ®Yes D 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 aired:
Name of School Location
__ _ __ _ Mo. Yr. Mo. Yr. Famed Yes N Det:ree/Certificate of Study
Husi/Tech/Voc Schools

Cdlege-University Sem. Hrs Graduated)
Graduate Schools Sem. Hrs. Graduated?
CK-02 An Equal Opportunity/Affirmative Action Employer
1:;dPLOYM1ICNT RECORD CONTINUED 1'ucc 2
List any special course work (include the number of hours completed), training, or experience that qualifies
for the classification(s) for which you are applying. Also list memberships in irelevant professional
organizations:
List current licenses/certificates/registrations (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)
DD /Al6 /al f~L if /Alt
Foreig1 Languages (List): Speak Read Write
_`7~n..a: <u IQI t:.t, n r•....,.t ~ t:.~•n...r I] Fair ®(•.md ^ Rxcellent ^ Feir ®Cood ^ Excellen
Fair ^ Cood ^ Excellent ~ ^ Fatr ^ Good ~xedlent
of Service
Are
Fstr^Ooad^ Exeeltat
in the Active Reservel
EMPLOYMENT RECORD: This information will be the official record of your employment history and must
accurately reflect ell significant duties performed. You must provide all the Information requested in order to
your qualifications to be evaluated properly. Add additional sheets as needed.
wr w Tarr - rm
of uperviaor
:r and job types of
t for Leaving
t' ~(m*o/day/yr) Through (
4 K~A L
ress (PO x, St, Apt ity, State,
~IDD //l/1/Ai ~.ST, L%uE
t-time. eoyroximate number of h
/[ ~ Title of
supervised by you, if any (e.g. 3 managers, 2
clerks):
~' ~~~ G~e~g ~~ ~~~~uor.e,, /LzLa ~fr~E!Z°~ ~- ~.r~~,pcv
~CLC~L
t-~
/Lh.r~c~ .~- ~~~~~. -
Final Salary
Phone (area code & number)
/7-?S7-~/('/

lob T!itl~e / From (mo/day/yr) Through (mo/day/7'r) Final Salary
d/e~U~ (~r~~W'J"U ~2_ApPK ~S per
Name o~OrgaaizatioQ Addtess~ljO.Bx, St, Apt,, City, State, Zip) Phone (area code & number)
run- u rare - r[me u art-ume a rox[ma[e number of Hours er week:
Name of Supervisor Title of S rvisor -~
~ /5 Up~,d / 1~C' U~
Number and job lypea of emptoyeea supervised by you, if any (e.g. 3 manages, 2 tee icians, 2 clerks):
Reason for Leaving
-: b'~,erw ~ ~lee~ ~~Cu~~
~~~`' ,
GC ~ , ~JU ~C , ~~a~~
,41,1/d~//,t'//lzcly `~7y/~~2~luk?
~Gtv'."F ~G ~y ~ ,
~ t
~7ob Title v Frdjh (mo/day/yr) Through (mo/day/yr) Final Salary
S per
Name of Organization Address (PO.Bx, St, Apt ,City, State, Zip) Phone (area code & number)
s.+ run- u rar[ - rime u aro-nme a rox[ma[e number or Hours er week:
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
s
e
PERSONAL DATA:
Do you have any exlatirtg physical or medical conditions or disabilities that would Interfere with our
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? ^ Yes ~No
if yes, please explain: --~-_--~-__-„_
Have you ever been convicted of a crime? ^ Yes ~No
It yea. please explain: -----------------.--------^--------------------
EAIPLO]'AIEN1' RECORD CONTIN[~ED Page 4 of 4
Plcasc list 3 names of individuals willing to provide character or protessioaal «terences:
Name Address Telephone N ~ Relationship
Please read the tolJowlag statements carefully and fadicate your understanding and acceptance by rtgning your
same in the space Indicated.
I. 1 certify that the foregoing statements as well as those on any attachment(s) to this form are to the best of
my Imowledge uue and correct and that they ara given of my own tree wilt.
2. I understand that any mtastatement (s) or omission(s) of material facts will eonstttute grounds for
unfavorable consideration or dismissal from employment.
3. I understand that former employers and educational institutions may ba contacted foe employment and
educational information. ~
4. I understand that Kett County may contact my current employer for employment information before
matting a binding otter of employment.
S. I understand that if employed, I wilt 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 of
a birth certificate). q
APPLICATION MUST BE SIGNED: S~,-~c2 ~ -- --~ ~ ~~ -
SlGNATURE-APPLICANT DATE

TEXAS WORKERS' COMPENSATION COMMISSION
200 East Riverside, Austin, Texas 78704-1287
(512) 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 coti•erage 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 fife 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) The employer must obtain written authorization from the applicant before making the
request. (e) I1 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 COMPLET 1 Y AND NOTARI Fn Tn rnnnoi v wire ruF i e~~~
Telephone YES NO
1, 1991
g. July 1, 1991
Date- a uest _ ~ (Mus~ ne
Signature
i, ----Patricia Louise Dye
Requester's Full Name and Title
2. 76001494
Federal Tax I.D. Number
Patricia Louise Dye
3. __
Employer's Full Name -
4. 700 Main Street
Street Address
Kerrville, TX 78028-5389
--------------------------------
City State Zip
S atnature pphcation~
-----~ - -
----------
9
6. _ Esther RL ~•~a ---------------
Print or Type Applicant's Full Name
7. -----_462-_~d.--- --9dRR -------
Social Security Number
--------------
Street Address
---- rrPYrvi_~ ] P~ ' L--LWt4Y---'-----...
City State Zip
IF REQUESTED BY PHONE THIS FORM MUST BE RECEIVED WITHIN 10 DAYS IN THE
COMMISSION'S AUSTIN OFFICE.
STATE OF TEXAS §
COUNTY OFKERR
SWORN ANb SUBSCRIBED TO BEFORE ME THIS 1 day of July 19 91
PATRTCIA DYE
Signature of 14~ ------------- ----------------------------
Printed Name X
PATRICIA DYE, COUNTY CLERIC IN Ab1D FY)R ICERR CD. (Seal) PATRICIA DYE, COUN'T'Y CLERK IN AND ~R
My Commission Expires: 12-31-1994 KERB COUNTY, KERI2VIIS,E, TEXAS
R-12 (Rev. 4-90)
CK-06
KERB COUNTY MEDICAL REPORT
(APPLICANT`S COPY)
I, Paul H. Kocay a licensed physician, hereby certify that I
have on this date, medically examined Esther R. Garza and
find Sher to be in sound physical condition and free from any physical defects that
could prevent or adversely affect the performance of /her duties as
__ DPDlI}V ro m V Clerk __`____
_ 6`~, -------
Date
Signature of Physician
G-'~52
Physician's License Number
PLEASE GIVE THIS PORTION TO APPLICANT TO BE RETURNED TO KERB COUNTY DEPARTMENT
HEAD.
CK-05
ORDER N0. 20381
APPROVAL OF HIRING ESTHER
R. GARZA AS COMMISSIONERS'
COURT DEPUTY IN THE COUNTY
CLERK'S OFFICE
July 8, 1991
Volume S, Page 310