• Application for Employment

    Application for Employment

  • NOTICE TO APPLICANTS

    The Human Resource Council is an equal opportunity employer. All applicants will be considered without regard to race, color, religion, creed, sex, national origin, age, marital status, or physical disability, which does not preclude performance of the particular employment sought, or any other legally protected status which is unrelated to a bona fide occupational requirement.

  • Criminal Record - (Conviction of a crime not an automatic bar to employment. Factors such as the nature and the gravity of the crime, length of the job for which you have applied will be considered Have you ever been convicted of a felony? If so, please explain each conviction. Give place of occurrence and the court involved.

  • College or University, Other Schools, Training Courses

  • College or University Name , Location    . Dates Attended , Major/Field of Study    , Degree or Certificate   .

  • College or University Name , Location    . Dates Attended , Major/Field of Study    , Degree or Certificate   .

  • College or University Name , Location    . Dates Attended , Major/Field of Study    , Degree or Certificate   .

  • College or University Name , Location    . Dates Attended , Major/Field of Study    , Degree or Certificate   .

  • Other Schools or Training Courses
    Name and Location. Dates Attended   . Title/Description of Course .

  • Other Schools or Training Courses
    Name and Location. Dates Attended   . Title/Description of Course .

  • Other Schools or Training Courses
    Name and Location. Dates Attended   . Title/Description of Course .

  • Special Skills-Specify speed/errors where requested:
    Typing: speed errors  
    Data Entry: speed errors      

  • Employment History

    Current & Previous

  • Current Employer
    Address
    Dates Employed: From      To:       
    Position:            Hours/Week      
    Supervisor:      Phone:      
    Description of Work Performed:      
    Reason for Leaving:      

  • Past Employer
    Address
    Dates Employed: From      To:       
    Position:       Hours/Week      
    Supervisor:      Phone:      
    Description of Work Performed:      
    Reason for Leaving:      

  • Past Employer
    Address
    Dates Employed: From      To:       
    Position:           Hours/Week      
    Supervisor:      Phone:      
    Description of Work Performed:      
    Reason for Leaving:      

  • Past Employer
    Address
    Dates Employed: From      To:       
    Position:           Hours/Week      
    Supervisor:      Phone:      
    Description of Work Performed:      
    Reason for Leaving:      

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  • I certify that the answers given are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment, as may be necessary in arriving at an employment decision.  In the event of employment, I understand that false or misleading information given on my application or interview may result in discharge.  I understand, also, that I am required to abide by all rules and regulations of the employer.

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  • RELEASE

  • With this release, I grant District XI Human Resource Council, Inc. to whom I am making application for employment, access to my past employment history, education institutions, and licensing bodies for verification of employment, skills, abilities, overall job performance, general comments on quality of work and timely completion of work assignments.

    HRC reserves the right to conduct a criminal background check on applicants. Prior convictions in and of themselves are not automatically grounds for disqualification. HRC also reserves the right to conduct background check on applicants during recruitment. The results of such a check are not automatically grounds for disqualification.

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  • APPLICANT SURVEY

    PLEASE READ ALL THE INSTRUCTIONS CAREFULLY BEFORE COMPLETING THIS FORM.

  • The Human Resource Council is an equal opportunity employer.  We seek to provide equal employment opportunities to all applications regardless of race, creed, religion, color, sex, physical or mental disability, age or national origin.  It is an unlawful employment practice for an employer to fail or refuse to hire or discharge any individual, or otherwise to discriminate against any individual with respect to that individual’s terms and conditions of employment because of such individual’s race, color, religion, sex or national origin.

    This employer is subject to certain nondiscrimination and affirmative action recordkeeping and reporting requirements, which require the employer to invite employees to voluntarily self-identify their race/ethnicity.  Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment.  The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable federal laws, executive orders, and regulations, including those, which require the information to be summarized and reported to the Federal Government for civil rights enforcement purpose.

    If you choose not to self-identify your race/ethnicity at this time, the federal government requires this employer to determine this information by visual survey and/or other available information.  All information will be reported in the same six race/ethnicity categories identified below.

    This survey will be separate from your application.  The information contained on it will be kept confidential and used only for statistical reporting and other lawful uses.  Analysis of the information provided in this survey will be used to monitor recruitment and selection practices within the Corporation.  Although you are not required to complete this survey, we would appreciate your voluntary cooperation.

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