Name(Required) First Middle Last Primary Phone(Required)Additional PhoneEmail(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How did you learn about us? Returning Employee Inquiry FaceBook Friend Relative Internet Search Advertisement Other Do you have any relatives who currently work for Freeport Park District? Yes No If yes, please indicate name and relationshipPositions Applied For(Required)Date of Application MM slash DD slash YYYY Are you 18 or older? Yes No If you are under 18 years of age, can you provide required proof of your eligibility to work? Yes No Have you ever been employed with us before? Yes No If yes, list the department(s) and position(s):Date(s) of Employment:Are you available for work immediately? Yes No If no, when are you available for work?If only available for temporary work, please indicate available dates here:Are you available to work: (check all that apply) Full-Time Weekends Morning Evening Part-Time Holidays Afternoon Night Do you have a valid driver's license? Yes No EducationHigh SchoolTime AttendedDiploma/Degree (or highest grade completed)Junior/Technician CollegeTime AttendedDiploma/Degree (or highest grade completed)Undergraduate CollegeTime AttendedDiploma/Degree (or highest grade completed)Graduate/Professional ProgramTime AttendedDiploma/Degree (or highest grade completed)Please specify any other professional certifications here:State any additional information, such as qualities, skills or knowledge, you feel may be helpful in considering your application:Employment HistoryPrevious Employer 1Employer AddressEmployer Phone NumberJob TitleDate EmployedSupervisorWork PerformedReason for LeavingPrevious Employer 2Employer AddressEmployer Phone NumberJob TitleDate EmployedSupervisorWork PerformedReason for LeavingPrevious Employer 3Employer AddressEmployer Phone NumberJob TitleDate EmployedSupervisorWork PerformedReason for LeavingReferencesReference 1RelationshipAddressPhone NumberReference 2RelationshipAddressPhone NumberReference 3RelationshipAddressPhone NumberPLEASE READ: I certify that the information completed in this application is true and accurate to the best of my knowledge. I further certify and understand that any falsification and deliberate omission of information will immediately terminate the application process and consideration of employment with the Freeport Park District. I understand that all offers of employment at Freeport Park District are contingent upon the results of a background check. My signature on this form authorizes Freeport Park District to contact previous employers regarding past employment. My application will be kept on file for one year. * SignCAPTCHA
