City of Kankakee Application for Employment

City of Kankakee Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered.

Position applying for *

Name*

Address*

Street Address and/or Mailing Address

Street Address Line 2

CityState

Zip Code

Cellular Telephone Number*

Format: (000) 000-0000.

Secondary Telephone Number

Format: (000) 000-0000.

Email*

example@example.com

Date Available to Start

Date

Do you have a High School Diploma or GED?*

YesNo

Do you have a relative that is a current employee of the City of Kankakee*

YesNo

Have you ever been employed with the City of Kankakee?*

YesNo

Previous Position

Previous Employment Start Date

Date

Previous Employment End Date

Date

School Name*

Degree

Address/City/State*

School Name

Degree

Address/City/Sate

Certification License Other

Institution

Address/City/State

Special Skills

Name & Phone Number*

Email Address*

example@example.com

Relationship*

Name & Phone Number*

Email Address*

example@example.com

Relationship*

Name & Phone Number*

Email Address*

example@example.com

Relationship*

Job Title 1*

Current Position?*

YesNo

Start Date (mo/day/yr)*

Date

End Date (mo/day/yr)

Date

Company Name*

Supervisors Name*

Phone Number*

Format: (000) 000-0000.

City*

State*

Zip*

Duties*

Reason for Leaving*

Starting Salary*

Ending Salary*

May we contact your present employer?*

YesNo

Job Title 2

Start Date (mo/day/yr)

Date

End Date (mo/day/yr)

Date

Company Name

Supervisors Name

Phone Number

Format: (000) 000-0000.

City

State

Zip

Duties

Reason for Leaving

Starting Salary

Ending Salary

Job Title 3

Start Date (mo/day/yr)

Date

End Date (mo/day/yr)

Date

Company Name

Supervisors Name

Phone Number

Format: (000) 000-0000.

City

State

Zip

Duties

Reason for Leaving

Starting Salary

Ending Salary

Prior Military Experience?

YesNo

Branch

I certify that all of my answers are given herein are true and complete to the best of my knowledge, and that supplying false information herein shall result in immediate disqualification for consideration for employment or termination from employment regardless of when such information is discovered. I authorize an investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision; and I hereby agree to indemnify and hold harmless each and every current or prior employer in defending against any charge, complaint or suit filed with any Federal, State, or local agency, or any court of the State or Federal government for providing an accurate and factual history of my employment information. I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the City of Kankakee to make an investigation of any of the facts set forth in this application and release the City from any liability. The City of Kankakee may contact any listed references on this application.

Signature*

Date

Cover Letter

Resume

PERSONAL INFORMATION

QUALIFICATIONS

REFERENCES

WORK HISTORY

EMPLOYMENT APPLICATION DISCLAIMER AND ACKNOWLEDGMENT