• VILLAGE OF MINERVA PARK

    VILLAGE OF MINERVA PARK

  • APPLICATION FOR EMPLOYMENT

  • The Village of Minerva Park is an equal opportunity employer, and does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.

  • PERSONAL INFORMATION

  • Date of application*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you eligible to work in the U.S.?*
  • Are you at least 18 years of age or older? (If no, you may be required to provide authorization to work.)*
  • Have you ever been terminated from employment or asked to resign by an employer?*
  • Can you work any shift?*
  • Can you work overtime, including weekends?*
  • Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accomodation?*

  • EMPLOYMENT DESIRED

  • Date you can start*
     / /
    2 digit month, 2 digit day, 4 digit year

  • REFERRAL SOURCE

  • Have you ever worked for this company before?*
  • Do you know anyone who works for our company?*

  • EDUCATION

  • EMPLOYMENT HISTORY

  •  

    Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

  • REFERENCES

    Please provide the names of three persons not related to you whom you have know at least three years:

  • Please read carefully before signing. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the Village of Minerva Park to hire me. I understand that successful applicants will be required to undergo and pass a criminal background check, and drug screen. I further understand that my application may be rejected if I decline to sign this acknowledgement, decline to be drug tested, or if I do not pass the background check and drug screen. I understand that employment at the Village of Minerva Park is on an "at will" basis, and includes no guarantee, contract, or promise of employment for any specific length of time. I attest with my signature below that I have given to the Village of Minerva Park true and complete information on this application. No requested information has been concealed. I authorize the Village of Minerva Park to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment

  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  •  
  • Should be Empty: