Online Application for Employment

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. all information contained in or connected with this application will be considered personal and confidential and used only in conjunction with your possible employment by the Village of Johnsburg. Please furnish us with complete information as outlined in this application. Incomplete applications may not be considered. You are encouraged to attach a resume or any additional information that you believe qualifies you for the position for which you are applying.  

The Village of Johnsburg is an Equal Opportunity Employer. This prohibits discrimination because of race, color, religion, national origin, political affliction, martial status, physical or mental handicap, sex, age or other protected categories, in all aspects of our personnel policies, programs, practices, and operations and applies to all phases of Village employment.

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Applicant Information

Last Name*

First Name*

M.I.

D.O.B.*

Street Address*

City *

State*

Zip*

Phone*

E-mail Address

Date Available*

Desired Salary*

Position Applied for *

Are you a citizen of the United States?*

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

Have you ever worked for this company?*

Yes

No

If so, when?

Have you ever been convicted of felony?*

Yes

No

If yes, explain

Education

High School *

Address*

Dates attended*

Did you graduate?*

Yes

No

College

Address

Dates attended

Did you graduate?

Yes

No

Other

Address

Dates attended

Did you graduate?

Yes

No

References

Please list three professional references.

Full Name *

Relationship*

Company *

Phone*

Address*

Full Name*

Relationship*

Company*

Phone *

Address*

Full Name*

Relationship*

Company*

Phone*

Address*

Previous Employment

Company*

Address*

Phone*

Supervisor*

Job Title*

Starting Salary*

Ending Salary*

Responsibilities*

Dates Worked*

Reason for leaving*

May we contact your previous supervisor for a reference?*

Yes

No

Company

Address

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates Worked

Reason for leaving

May we contact your previous supervisor for a reference?

Yes

No

Company

Address

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates Worked

Reason for leaving

May we contact your previous supervisor for a reference?

Yes

No

Military Service

Branch

Date Range

Rank at Discharge

Type of Discharge

If other than Honorable, explain

Disclaimer

Resume

Electronic Signature/Agreement*

Yes

No

“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you and agree to sign an authorization, waiver and release of all claims and waiver of right to inspect background investigation. I understand and agree that, if hired, my employment is for no definite period and my, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause.”