Personal Information

Name:*

Email:*

Address:*

City:*

State:*

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Zip:*

Home phone:*

Mobile phone:

If you are under 18, please list your age:

Are you legally authorized to work in the United States?*

Yes No

If applicable for the position, do you possess a valid driver’s license?

Yes No

If applicable for the position, do you possess a valid CDL?

Yes No

Were you previously employed by the City of Naperville/Naper Settlement?*

Yes No

If yes, please state when and in what position

Are you related to any employee of Naper Settlement or an elected official of the City of Naperville?*

(Please Select) Yes No

If yes, please explain his/her relationship to you:

Have you ever been indicted or convicted as an adult for a felony? An applicant will not be automatically rejected by Naper Settlement for these occurrences.*

(Please Select) Yes No

If yes, please explain number of convictions, nature of offenses leading to conviction, dates and places in which the offense occurred and final disposition:

Languages

References

Position Information

Position applied for:*

Desired salary:*

Type of work:*

(Please Select) Full-time Part-time Temporary Summer

Date available:*

Can you work nights?*

(Please Select) Yes No

Can you work weekends?*

(Please Select) Yes No

How did you hear about this position?*

Educational Information

High School

Name of school:*

Location:*

Years completed:*

Major / degree:*

College

Name of school:

Location:

Years completed:

Major / degree:

Business / Trade School

Name of school:

Location:

Years completed:

Major / degree:

Professional / Graduate School

Name of school:

Location:

Years completed:

Major / degree:

Other Education Information

If you are not a high school graduate, have you passed the GED test?

(Please Select) I am a high school graduate. I have not passed the GED test. I have passed the GED test.

List any correspondence courses, special courses, seminars, workshops, etc. that might relate to this position. Also, list any licenses or certificates relating to this position:

List any other experience or skills that relate to this position:

Employment History

Please begin with your most recent / current employer and note any gaps in employment history.

Most Recent / Current Employer

Employer:

Address:

Job title:

Reason for leaving:

Supervisor / title:

Supervisor phone:

Starting date:

Ending date:

Employer 2

Employer:

Address:

Job title:

Reason for leaving:

Supervisor / title:

Supervisor phone:

Starting date:

Ending date:

Employer 3

Employer:

Address:

Job title:

Reason for leaving:

Supervisor / title:

Supervisor phone:

Starting date:

Ending date:

Employer 4

Employer:

Address:

Job title:

Reason for leaving:

Supervisor / title:

Supervisor phone:

Starting date:

Ending date:

Disclaimer

Naper Settlement is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, marital or veteran status, age or disability. Your application for employment with Naper Settlement is evaluated solely on your job-related qualifications.

By submitting this form, I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Naper Settlement creates an actual or implied contract of employment. I understand that, if I accept employment with Naper Settlement, it will be on an at-will basis. This means that either Naper Settlement or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.

By submitting this form, I authorize Naper Settlement to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment, in accordance with legal requirements. I release Naper Settlement and its employees from all liability arising from such investigations, or from any related action. I also release each company named on this application, its employees and any person named on this application from any and all liability, and authorize each company and/or individual named to provide job-related information about me, my work performance and work habits.

Further, I understand that if hired, I will be required to complete a probationary period, employment physical and both a civil and criminal background check.

Please enter your full name to verify you have read and understand the above stated applicant information*