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Job Application

Please note: All forms must be completed and signed, including guardian signature if under 18, before returning for consideration. Freeport Park District is an Equal Opportunity Employer. Freeport Park District considers applicants for all positions without regard to race, color, religion, creed, gender, pregnancy, national origin, citizenship status, age, disability, sexual orientation, marital status, military or veteran status, genetic information or any other legally protected class. If you need reasonable accommodation to complete the application, please contact the office manager at the Freeport Park District administrative offices.

Name *

First

Middle

Last

Primary Phone Number *

Additional Phone Number

Email *

Address Line 1 *

Address Line 2

City, State Zip *

How did you learn about us?

Returning Employee
Relative
Inquiry
Internet Search
Facebook
Advertisement
Friend
Other

Do you have any relatives who currently work for Freeport Park District?

Yes
No

If yes, please indicate name and relationship

Positions Applied For *

Date of Application

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
Part-Time
Weekends
Holidays
Morning
Afternoon
Evening
Night

Do you have a valid driver's license?

Yes
No

High School

Time Attended

Diploma/Degree (or highest grade completed)

Junior/Technician College

Time Attended

Diploma/Degree (or highest grade completed)

Undergraduate College

Time Attended

Diploma/Degree (or highest grade completed)

Graduate/Professional Program

Time Attended

Diploma/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:

Previous Employer 1

Employer Address

Employer Phone Number

Job Title

Dates Employed

Supervisor

Work Performed

Reason for Leaving

Previous Employer 2

Employer Address

Employer Phone Number

Job Title

Dates Employed

Supervisor

Work Performed

Reason for Leaving

Previous Employer 3

Employer Address

Employer Phone Number

Job Title

Dates Employed

Supervisor

Work Performed

Reason for Leaving

Reference 1

Relationship

Address

Phone Number

Reference 2

Relationship

Address

Phone Number

Reference 3

Relationship

Address

Phone Number

PLEASE 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. *

Sign

Name

Freeport Park District

Home
Krape Park Art Walk
- Artist Application
- Event Sponsorship
Programs
Parks
Facilities
Foundation
Information
Contact

Contact Us

1122 S. Burchard Ave.
P.O. Box 417
Freeport, IL 61032

Phone: (815) 235-6114
Email: contact@freeportparkdistrict.org