EMPLOYMENT OPPORTUNITIES

Click here for more information about the Teen Zone Coordinator (Part-time) in the Village of Bellwood job opening.

Click here for more information about the Pace Van Driver (Part-time) in the Village of Bellwood job opening.

Click here for more information about the Crossing Guard (Part-time) in the Village of Bellwood job opening.

Click here for more information about the Police Officer (Part-time) in the Bellwood Police Department job opening.

Click here for more information about the Volunteers to join the Homeland Security and Emergency Management Agency (DHSEM) job opening.

1Applicant Information

2Education

3Previous Employment

4Driving Record

5References

6Military Service

7Computer Skills

8Final

Applicant Information
Full Name*
First M.I. Last
Date
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Telephone*
Email*
Date Available
MM slash DD slash YYYY
This field is hidden when viewing the form
Social Security No.
Desired Salary
Position Applied for*
Have you ever applied to the Village of Bellwood before?*
- Yes
- No
Are you a citizen of the United States?*
- Yes
- No
Are you authorized to work in the U.S.?*
- Yes
- No
Have you ever worked for the Village?
- Yes
- No
If yes, when?

Education
High School*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Did you graduate?*
- Yes
- No
Diploma*
College
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Degree
Other
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Degree

Current Employment
Are you currently employed?*
- Yes
- No
Company*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Supervisor*
Job Title*
Starting Salary*
Ending Salary*
Responsibilities*
What do you like about your current job?*
What do you least like about your current job?*
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Reason for Leaving*
May we contact your previous supervisor for a reference?*
- Yes
- No
Previous Employment
Company
Phone
Address
Street Address Address Line 2 City State ZIP Code
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
What did you like about your last job?
What did you like least about your last job?*
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Company
Phone
Address
Street Address Address Line 2 City State ZIP Code
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
What did you like about your last job?
What did you like least about your last job?
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No

References
Please list three professional references
Full Name*
Relationship*
Company*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Full Name*
Relationship*
Company*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Full Name*
Relationship*
Company*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code

Why are you considering a career with us?
What are your hobbies?
Attach special training certificates, licenses and certificates
Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.
Upload any documents related to your application (e.g., resumes, certifications, licenses, etc.)
Disclaimer
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I certify that the information provided in order to apply for and secure work with this employer is true and accurate.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employer, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other person, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer’s service, whenever it is discovered.
Signature*
Date*
MM slash DD slash YYYY
If you have any questions or need more information concerning the position for which you just applied, please contact Human Resources Director Tonita LeShore at (708) 202-0312.
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EMPLOYMENT OPPORTUNITIES

Applicant Information

Education

Current Employment

Previous Employment

Driving Record

References

Military Service

Skills and Qualifications

Disclaimer