Eagle Lake Employment Application

Job Application

Please complete the form below to apply for a position with us.
*Eagle Lake Community Association, Inc. *IS AN EQUAL OPPORTUNITY EMPLOYER. Eagle Lake Community Association, Inc. ensures all job applicants are considered for employment without discrimination on the basis of race, color, creed, religion, ancestry, age, sex, marital status, pregnancy, sexual orientation, medical condition, national origin, disability or handicap, veteran status, or other basis prohibited by law.
Employment Information
Full Name (If no middle name, please type "None".)*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email Address (Please type "None" if none.)*
Phone Number*

Area CodePhone Number
Upload Resume (Optional)

Upload a File

Cancelof
Employment Desired
Applying for Position*
Days/Times of Availability (Ex. Nights, Weekends, etc.)
Date of Earliest Availability

MonthDayYear
Full TimePart Time
Do you have any relatives who currently work or have previously worked for our organization?*
Name of Relative Previously or Currently Employed by Our Organization
NoYes
When did you work for Eagle Lake previously?
In what department?

Employment History
Previous Employer, Position, Duties, and Reason for Leaving (1)
Contact/Supervisors Name
Contact Number
Hire Date
End Date
Starting Wage
Ending Wage
Previous Employer, Position, Duties, and Reason for Leaving (2)
Contact/Supervisors Name
Contact Number
Hire Date
End Date
Starting Wage
Ending Wage

Personal References

Please list two (2) personal references that are not related to you whom you have known for at least one (1) year
Reference Name (1)*
Phone Number or Email Address*
Occupation and Years Known*
Reference Name (2)*
Phone Number or Email Address*
Occupation and Years Known*

Disclaimer and Signature

Please read and initial each statement.
I CERTIFY THAT MY ANSWERS ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.*
Read & Initial
I UNDERSTAND THAT ANY FALSE STATEMENT, ANSWER, OR OMISSION MADE BY MYSELF IN THIS APPLICATION ON OR IN SUPPORT OF MY APPLICATION MAY BE SUBJECT TO MY TERMINATION OF EMPLOYMENT AT ANY TIME DURING MY EMPLOYMENT, AND THAT THE ORGANIZATION SHALL NOT BE LIABLE IF MY EMPLOYMENT IS TERMINATED.*
Read & Initial
I UNDERSTAND THAT AS AN EMPLOYEE OF EAGLE LAKE COMMUNITY ASSOCIATION, INC. I MAY BE SUBJECTED TO RANDOM DRUG SCREENINGS THROUGHOUT MY ENTIRE EMPLOYMENT AS STATED IN THE EMPLOYEE POLICY.*
Read & Initial
I AUTHORIZE THE RELEASE OF ANY INFORMATION REQUIRED TO DETERMINE MY QUALIFICATIONS FROM PAST AND PRESENT EMPLOYERS, POLICE DEPARTMENTS, COURTS, DRIVING RECORDS, ETC. I HEREBY RELEASE THEM, THEIR EMPLOYEES, AND THE ORGANIZATION FROM ALL LIABILITY FOR ANY DAMAGE WHATSOEVER FOR PROVIDING AND OBTAINING THIS INFORMATION.*
Read & Initial
I UNDERSTAND THAT PENNSYLVANIA IS AN EMPLOYMENT-AT-WILL STATE AND THAT EAGLE LAKE COMMUNITY ASSOCIATION, INC. DOES NOT OFFER TENURED OR GUARANTEED EMPLOYMENT. EITHER THE COMPANY OR THE EMPLOYEE CAN TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, WITH OR WITHOUT CAUSE OR NOTICE.*
Read & Initial
Signature (Sign on line with mouse or touchscreen if using a mobile device.)*

Clear
YesNo
Parent Signature (Sign on line with mouse or touchscreen if using a mobile device.)*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Job Application

Employment Information

Employment Desired

Education

General Information

Employment History

Personal References

Disclaimer and Signature