Fillable Employment Application VILLAGE OF LINCOLNSHIRE

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Employment Application VILLAGE OF LINCOLNSHIRE

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The Employment Application VILLAGE OF LINCOLNSHIRE form is 3 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Village of Lincolnshire

BROWSE VILLAGE OF LINCOLNSHIRE (IL) FORMS

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1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
STAM
P HERE
EMPLOYMENT APPLICATION (Non
-Police)
PERSONAL
Name:
Address:
Phone:
Are you of the legal age to work?
Position(s) applied for:
If yes, when?
How did you learn about this position?
Are there any other experiences, skills, or qualifications which will be of special benefit in the job for
which you are applying? (Applicant should not list any information that Federal and/or State law precludes obtaining in
the pre-employment stage)
EDUCATION
School
Name and Address of
School
Course of
Study
Last Year
Completed
Did you
Graduate
Degree
Elementary
High
College
Other (Specify)
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
PRESENT/PAST EMPLOYMENT (
Begin with most recent
)
1. Name and Address of Company
and Type of Business:
Reason for Leaving:
from:__________ to:__________
Job Title & Duties:
Telephone:
Name of Supervisor:
2. Name and Address of Company
and Type of Business:
Reason for Leaving:
from:__________ to:__________
Job Title & Duties:
Telephone:
Name of Supervisor:
3. Name and Address of Company
and Type of Business:
Reason for Leaving:
from:__________
to:__________
Job Title & Duties:
Telephone:
Name of Supervisor:
4. Name and Address of Company
and Type of Business:
Reason for Leaving:
from:__________ to:__________
Job Title & Duties:
Telephone:
Name of Supervisor:
I hereby give permission to contact the employers listed above concerning my prior work experience. If there is a particular
employer you do not wish us to contact, please indicate which one(s).
S
igned: ______________________________________________________
PERSONAL REFERENCES (not former employers or relatives)
Name and Occupation
Address
Phone Number
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Please note that later in the application process, you may be asked whether you have been convicted of a
crime, excluding misdemeanors and summary offenses, in the past ten years which has not been annulled
or expunged or sealed by a court. In this regard, please note that the applicant is not obligated to disclose
expunged juvenile records of adjudication, conviction or arrest, nor is the applicant obligated to disclose
whether he/she has had a juvenile record expunged.
You have been given a job description listing essential job functions of the position(s) for which you have
applied. Please review the job description and answer the following questions:
Are you able to perform each of the essential job functions with or without accommodation listed for each
position for which you have applied? ______________________________________________________
If no, list the function(s) you are unable to perform. __________________________________________
____________________________________________________________________________________
The facts set forth in my application for employment are true and complete. I understand that if
employed, any false statement on this application may result in my dismissal. I further understand that
this application is not and is not intended to be a contract of employment, nor does this application
obligate the employer in any way if the employer decides to employ me. I understand and agree that my
employment is at-will and can be terminated by either party with or without notice, at any time, for any
reason, or no reason. No one other than the Village Manager has any authority to enter into any
agreement for employment for any specified period of time or to make any agreement contrary to the
foregoing and then only in writing signed by the Village Manager.
Signature of Applicant __________________________________________________________________
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Employment Application VILLAGE OF LINCOLNSHIRE

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Completed 13 July 2020

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