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Includes equal opportunity and accommodation policy statements, felony history disclosure, and education and military service sections with years served, branch, rank, discharge date, and honors. Provides structured employment history tables with supervisory contact permission, responsibilities, and reason for leaving. 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Persons with a disability or handicap needing  \naccommodations to perform the essential duties of the job must disclose that in writing with this application. The Township may require medical documentation.  \nDate    \nLast name   First name   Middle name  Street Address   City   State   ZIP   Telephone   Email   Are you 18 or older? ❑ Yes ❑ No  \nPosition applied for   How did you hear of this opening?   When can you start?   Desired Wage $  Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.) ❑ Yes ❑ No  \nAre you looking for full-time employment? ❑ Yes ❑ No If no, what hours are you available?    \nHave you ever been convicted of a felony? (This will not necessarily affect your application.)  \n❑ Yes ❑ No  \nIf yes, please describe conditions.    \n______________________________________________________________________________  \n______________________________________________________________________________  \n______________________________________________________________________________  \nEducation  \n\n|  | School Name & Address | Year Graduated | Major | Degree |\n| --- | --- | --- | --- | --- |\n| High School |  |  |  |  |\n| College |  |  |  |  |\n| College |  |  |  |  |\n| Post-College |  |  |  |  |\n| Other Training |  |  |  |  |\n\nDo you have US Military Experience? ❑ Yes ❑ No Number of Years Served    \nBranch   Rank  Date Discharged   Honorably? ❑ Yes ❑ No  \nIn addition to your work history, are there other skills, qualifications, or experience that we should consider?  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n\nEmployment History (Start with most recent employer)  \nCompany Name   Address   Telephone   Date Started   Starting Wage   Starting Position   Date Ended   Ending Wage   Ending Position   Name of Supervisor   May we contact? ❑ Yes ❑ No  \nResponsibilities    \n_____________________________________________________________________________  \nReason for leaving    \nCompany Name   Address   Telephone   Date Started   Starting Wage   Starting Position   Date Ended   Ending Wage   Ending Position   Name of Supervisor   May we contact? ❑ Yes ❑ No  \nResponsibilities    \n\n| Reason for leaving  \u003Cbr>Company Name   Address   Telephone   Date Started   Starting Wage   Starting Position   Date Ended   Ending Wage   Ending Position   Name of Supervisor  \u003Cbr>May we contact? ❑ Yes ❑ No\u003Cbr>Responsibilities   |\n| --- |\n| Reason for leaving  \u003Cbr>Company Name   Address   Telephone   Date Started   Starting Wage   Starting Position   Date Ended   Ending Wage   Ending Position   Name of Supervisor  \u003Cbr>May we contact? ❑ Yes ❑ No\u003Cbr>Responsibilities   |\n\nReason for leaving    \nPlease read the following statement before signing to indicate your understanding and attach any additional information if necessary.  \nI certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. The Township is hereby authorized to make any investigations of my background, prior educational, and employment history.  \nI understand that employment at the Township is “at will,” which means that either I or the Township can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. I understand that no supervisor, manager, or executive of the Township, other than the Board of Trustees, has any authority to alter the foregoing.  \nAs a condition of employment, employees of the Township agree not to commence any action","cbCairDwQQJjhVha","https://ap.wps.com/l/cbCairDwQQJjhVha","pdf",167251,"English","# Application for Employment\n## Applicant Information\n## Employment Eligibility and Availability\n## Education and Military Experience\n## Employment History\n## Certification and Signature","[{\"question\":\"What information is required for applicant identification and contact?\",\"answer\":\"The form requests last name, first name, middle name, street address, city, state, ZIP, telephone, and email.\"},{\"question\":\"What eligibility and disclosure questions are included?\",\"answer\":\"It asks whether the applicant is 18 or older, a U.S. citizen/authorized to work on an unrestricted basis, whether full-time employment is sought, start date, desired wage, and whether the applicant has been convicted of a felony.\"},{\"question\":\"What must the applicant certify and sign at the end?\",\"answer\":\"The applicant certifies the facts are true and complete, authorizes background and education/employment investigations, acknowledges at-will employment terms, accepts limitations on actions timeframe, and provides a signature and date.\"}]","Employee Application Form | PDF",1789827652]