ACLPOA Job Application

14A157 CANYON CLUB DRIVE APPLE RIVER, IL 61001 OFFICE: 815.492.2238 FAX: 815.492.2160

The Apple Canyon Lake Property Owners Association (ACLPOA) considers all applicants for employment in accordance with federal law. In addition, ACLPOA complies with applicable state and local laws prohibiting discrimination in employment. ACLPOA provides "reasonable accommodations" to qualified individuals with disabilities, in accordance with the Americans with Disabilities Act and applicable state and local laws.
Name (First, MI, Last)
E Mail
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Phone
Address

Address

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City/State/ZipState / Province

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Education
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Years Completed:
Degree Received:
Area of Study:
College:
Years Completed:
Degree Received:
Area of Study:
Other:
Years Completed:
Degree Received:
Area of Study:

Employment History
Date (from/to):
Employer Name & Address:
Position:
Supervisor Name:
Supervisor's Phone Number:
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Reason for Leaving:
Dates (from/to):
Employer Name & Address:
Postion:
Supervisor's Name:
Supervisor's Phone Number:
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Reason for Leaving:
Dates (to/from):
Employer Name & Address
Position:
Supervisor's Name:
Supervisor's Phone Number:
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Reason for Leaving:
Dates (to/from):
Employer Name & Address:
Position:
Supervisor's Name:
Supervisor's Phone Number:
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Reason for Leaving:
Please describe in detail the work you performed.
Please list any special skills or abilities that you may have related to the work you applied for.

References
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Relationship:
Number of years known:
Reference's Phone Number:
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Reference's Name:
Relationship:
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Reference's Phone Number:
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Reference's Name:
Relationship:
Number of years known:
Reference's Phone Number:
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Reference's Name:
Relationship:
Number of years known:
Reference's Phone Number:
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Certification and Authorization (Please read carefully and sign the statement below I understand and agree that:

I.The information I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification of refusal of employment, or, if employed, termination from ACLPOA's employ.

2.Any offer of employment I may receive from ACLPOA is contingent upon my successful completion of the company's total pre-employment screening process, including the company's receiving references that it considers satisfactory. and my satisfactory completion of any pre-employment medical examination that the company may require.I also agree, if employed, to submit to a medical exam at any time at the company's the results of or

3.successfully request. employment understand I hereby pass medical that as consent a screening a exams condition to I having may for of alcohol employment, be required and/or to I drugs. take may any pre-employment disclosed be I also required understand to to ACLPOA. undergo post- andI and agree that, if employed, I may be required to submit to an alcohol or drug screening at any time at the discretion of ACLPOA. I hereby consent to having the results of any such alcohol or drug screening I may be required to undergo disclosed to ACLPOA.

4. In processing my application for employment, ACLPOA may verify all the information provided by me, or may procure or have prepared a consumer or an investigative consumer report for this purpose concerning my prior employment, military record, education, character, general reputation, personal characteristics, criminal record, and mode of living. I understand that upon written request to the company. I will be informed of whether an investigative consumer report was requested and given full information as to the nature and scope of this investigation

5.I authorize and request that all of my present and former employers and those individualsI have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information. 6.In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the company and understand that my employment and compensation can be terminated with or without cause or notice, at any time, at the option of either the company or myself.
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Education

Employment History

References