Employment Application Form Step 1 of 9 11% Application for EmploymentIt is the policy of the DuPage Airport Authority to provide all persons equal employment opportunities. This policy prohibits discrimination because of race, religion, national origin, ancestry, age, sex, sexual orientation, marital status, or physical or mental impairments unrelated to the ability to perform essential job functions. We welcome you as an applicant for 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 by the DuPage Airport Authority. Please furnish us with COMPLETE information as outlined in this application. Incomplete applications will NOT be considered. You are encouraged to submit a resume or any other additional information, which you believe relates to your qualifications for the position(s) for which you are applying.Position(s) Applying For:* Date of Application* Month Day Year Personal InformationFull Name* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date Available to Begin Work* Month Day Year Position InformationWork Type:*Please indicate the type of employment desired: Full-Time Part-Time Temporary Summer Referral Source:*Please indicate how you heard about the position you are applying for: Walk-In Employee/Relative Newspaper Website Background InformationHave you filed an application here before?*Select an OptionYesNoWhat position did you previously apply for? Have you ever been employed here before?*Select an OptionYesNoDate you started previous position: Month Day Year Date you left previous position: Month Day Year Is any of your employment data under a different name?*Select an OptionYesNoFull NameIf different than the name provided, please provide full name that you gave for previous employment data. Do you have friends/relatives currently employed with the DuPage Airport Authority, DuPage Flight Center and/or Prairie Landing Golf Club?*Select an OptionYesNoEmployed Friend/Relative Information:Name of Friend/RelativeRelationship If hired, can you provide proof that you are authorized to work in the United States on an unrestrictive basis?*(Proof of U.S. citizenship or immigration status will be required upon employment)Select an OptionYesNoAre you capable of satisfactorily performing the essential job duties of the position, with or without reasonable accommodation, for which you are applying?*(See position description)Select an OptionYesNoHave you ever pled guilty or "no contest" to, or been convicted of a serious misdemeanor or felony? Such conviction may be relevant if job related, but does not bar you from employment.*(Convictions for marijuana related offenses that are more than two years old need not be listed)Select an OptionYesNoPlease provide the dates and details:DateDetails Do you have a valid driver's license?*Select an OptionYesNoDo you have a valid Commercial Driver's License (CDL)?*Select an OptionYesNo EducationPlease indicate the last (3) schools that you have attended:*School/Technical TrainingYears CompletedDegree/DiplomaGPA/Class RankMajorMinor ReferencesList name and telephone number of (3) business/work references that are not related to you and are not previous supervisors. If not applicable, list three school or personal references that are not related to you.Reference Information:*NameTelephone NumberYears KnownBusiness/School/Personal Employment InformationList your last (3) employers, assignments or volunteer activities, starting with the most recent, including military experience. Explain any gaps in employment in the comments section below.Employer #1:Employer Name:* Phone:* Job Type:* Full-Time Part-Time Start of Employment:* Month Day Year End of Employment:* Month Day Year Job Title:* Immediate Supervisor:* Reason for Leaving* May we contact for reference?*Select an OptionYesNoEmployer #2:Employer Name: Phone:Job Type: Full-Time Part-Time Start of Employment: Month Day Year End of Employment: Month Day Year Job Title: Immediate Supervisor: Reason for Leaving: May we contact for reference?Select an OptionYesNoEmployer #3:Employer Name: Phone: Job-Type: Full-Time Part-Time Start of Employment: Month Day Year End of Employment: Month Day Year Job Title: Immediate Supervisor: Reason for Leaving: May we contact for reference?Select an OptionYesNoComments: Qualifications:Skills and Qualifications*Summarize special skills, qualifications, or training acquired from employment or other experiences that may qualify you to work for Prairie Landing Golf Club.Professional Certifications:*Please list any professional certifications you have in this area. ResumePlease upload your resume if you are including one. Drop files here or Select files Max. file size: 100 MB. Please Read Carefully:I hereby certify that the facts set forth in the above employment application are true and complete tot eh best of my knowledge. I understand that falsified statements or omission of facts on this application shall be considered sufficient cause for termination of employment or cancellation of application. I understand and agree that Prairie Landing Golf Club is hereby authorized to thoroughly investigate my character, employment record, references, education, and other matters related to my suitability for employment. I further understand that such inquiries will include checking police records for convictions. I hereby release from liability the employer and its representative for seeking such information and all other persons, corporations or organizations for furnishing such information. I understand that I may request reasonable accommodation if needed, due to disability, in order to participate in the overall application process. This application is current for 3 months from the date it was submitted. At the conclusion of this time, if I have no heard from Prairie Landing Golf Course and still wish to be considered for employment, it will be necessary to complete a new application. I understand the filing of this application or participation in an interview in no way constitutes an employment contract with Prairie Landing Golf Club. I acknowledge the right of Prairie Landing Golf Club to make changes in policy and benefits where not specified or covered by contract without notice. I understand that any offer of employment is conditional upon the successful completion of a background check, drug screen and/or physical exam. Shoudl I become employed, I agree to conform to all rules and regulations of Prairie Landing Golf Club. I understand that I have the right to terminiate my employment at any time and Prairie Landing Golf Club retains the same right.Signature:Do you agree?*I have read and understand the above statement. This application is complete and accurate to the best of my knowledge.Select an OptionYesNoSignature of Applicant:* First Last Date* Month Day Year EmailThis field is for validation purposes and should be left unchanged.