Please print out and return to:
Naper Settlement - Human Resources
523 S. Webster St., Naperville, IL 60540-6517
AFFIRMATIVE ACTION POLICY
We welcome you as an applicant for employment.
Your application will be considered with others in competition for the position
in which you are interested. It is the policy and intent of Naper Settlement to
provide equality of opportunity in employment to all persons. This policy
prohibits discrimination because of race, color, religion, national origin,
place of residence, political affiliation, marital status, physical or mental
handicap, sex or age (except when sex, age, or handicap is a bona fide
occupational qualification) in all aspects of our personnel policies, programs,
practices and operations. This policy applies to all types of full, part-time,
temporary, and seasonal employment.
All information contained in or connected with this application will be
considered personal and confidential and used only in conjunction with your
possible employment with Naper Settlement. Please furnish us with complete
information as outlined in this application. You are encouraged to attach a
resume or any additional information as qualifies you for the position for which
you are applying. Please use typewriter or ink.
Type or Kind of Work Applied For:
1.
_______________________________
2.
_______________________________
Permanent _____ Part-time _____
Full-time______
Minimum Salary $_______ per _______
Date Available:
_______________
Temporary ________ Summer ________
PERSONAL INFORMATION
__________________________________________________________________________________
Address:
City:
State: Zip
Code: County:
__________________________________________________________________________________
Driver's License
Number:
State: Class:
Expiration Date:
__________________________________________________________________________________
Social Security Number:
Are you related to any employee of Naper Settlement or an elected
official? No ___ Yes ___
If yes, state their name and relationship to you:_____________________________
I am at least 18 years of age. No ___ Yes___
I am over 70 years of
age. No ___ Yes ___
Have you ever been indicted or convicted as an adult for a criminal
violation? (An applicant will not automatically be rejected by Naper Settlement
for these occurrences.) No ___ Yes ___
If yes, state date and place: _______________________________________________________
Nature of offense: ___________________________
Disposition: __________________________
EDUCATIONAL INFORMATION
|
Circle highest grade completed: |
Grade
School |
High
School |
College |
Post Graduate |
|
Name and Address of Last High School: |
Have you passed the GED test if you are not a High School Graduate? No ___ Yes ___ |
|
Type of School |
Name & Mailing Address of School |
Major |
# of Credits |
Degree Earned |
College/University |
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College/University |
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Graduate |
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Technical |
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Technical |
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Other |
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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 skills or experience which relates to this position (typing, dictation, office machines) _________________________________________________________________ |
||||
Referred by: Newspaper ____ Agency ___ Employee ___ Other ________________
EMPLOYMENT HISTORY
INSTRUCTIONS: Please begin with your present or most recent
employer.
It is important to be complete.
You (May/May Not) contact my present employer. (Circle one)
|
Employer: |
Mailing Address: |
Zip Code: |
Telephone No.: |
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|
Duties Performed: |
Your
Position Title: |
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|
Employment
Dates: |
Last Salary: |
Full Time |
Reason for Leaving: |
||
|
Employer: |
Mailing Address: |
Zip Code: |
Telephone No.: |
||
|
Duties Performed: |
Your
Position Title: |
||||
|
Employment
Dates: |
Last Salary: |
Full Time |
Reason for Leaving: |
||
|
Employer: |
Mailing Address: |
Zip Code: |
Telephone No.: |
||
|
Duties Performed: |
Your
Position Title: |
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|
Employment
Dates: |
Last Salary: |
Full Time |
Reason for Leaving: |
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Employees hired are subject to satisfactory completion of a probationary period, employment physical, criminal and civil background check.
I HEREBY CERTIFY THAT ALL ANSWERS TO THE ABOVE
QUESTIONS ARE TRUE AND I AGREE AND UNDERSTAND THAT ANY FALSE STATEMENTS
CONTAINED IN THIS APPLICATION MAY CAUSE REJECTION OF THIS APPLICATION OR
TERMINATION OF EMPLOYMENT WITHOUT NOTICE OR BENEFITS.
I understand that this application is not, nor is intended to be, a contract of
employment.
SIGNATURE: __________________________________ DATE: ___________________
Naperville Heritage Society is a not-for-profit organization.
Copyright 2005 Naperville Heritage Society. All rights reserved.
Accredited by the American Association of Museums.