PrairieView/PrairieFire Employment Application Form

Seasonal/Part-Time Employment Application
PRAIRIEVIEW/PRAIRIEFIRE (operated by the Byron Forest Preserve District) IS AN EQUAL OPPORTUNITY EMPLOYER. Employment with the Byron Forest Preserve District is governed on the basis of merit, competence and qualifications and will not be influenced in any manner by race, age, color, sex, religion, sexual orientation, veteran status, national origin, marital status, mental or physical disability or any other legally protected status. THOSE APPLICANTS REQUIRING REASONABLE ACCOMMODATION TO THE APPLICATION/INTERVIEW PROCESS SHOULD NOTIFY THE GENERAL MANAGER.
Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you ever been employed with us before?

YESNO
If yes, date(s) & position:

POSITION(S) DESIRED
What position(s) are you applying for?*

Cart Attendant (16+)Pro Shop Attendant (18+)Concessions (PrairieView - 16+)Host/Hostess (PV and/or PF - 16+)Server (PV and/or PF - 18+)Cook (PV and/or PF - 16+)Bartender/Bev Cart (PV and/or PF - 21+)
Please list skills, licenses, training, etc. applicable to the positions for which you are applying:
Available for:

Part-Time (Year Round)Seasonal
Both Part-time & Seasonal employees may work up to 40 hours a week, but may not exceed 1,000 hours annually.
Desired Hourly Wage?
Date available to begin work:

EMPLOYMENT ELIGIBILITY
Are you legally eligible for employment in this country?*

YESNO
The District obtains criminal conviction information from applicants during the hiring process as well as about individuals who are offered employment, and therefore, shall perform a criminal background check for successful applicants for all positions, including the position for which you have applied. Applicants are not obligated to disclose sealed or expunged records of convictions. Convictions shall not automatically disqualify the applicant from consideration, but rather, the conviction will be considered in relationship to the specific job.
Have you ever been convicted of any felony?*

YESNO
Have you ever been convicted of a misdemeanor involving dishonesty, criminal sexual conduct, assault or battery, or any criminal drug statute?*

YESNO
If yes to the above, describe:

WORK HISTORY

(Fill in below, beginning with most current employment. Please note any gaps in employment.)
Most Recent Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Started (mm/dd/yyyy)
Date Left (mm/dd/yyyy)
Starting Position
Starting Salary
Position on Leaving
Salary on Leaving
Description of Duties
Reason for Leaving
Name & Title of Supervisor
May we contact this employer?

YESNO
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
- Employer
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Date Started (mm/dd/yyyy)
- Date Left (mm/dd/yyyy)
- Starting Position
- Starting Salary
- Position on Leaving
- Salary on Leaving
- Description of Duties
- Reason for Leaving
- Name & Title of Supervisor
- May we contact this employer?
  
  YESNO
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.

REFERENCES

Please list three (3) references that are familiar with your work life.
Reference #1
- Reference #2
- Reference #3

Seasonal/Part-Time Employment Application