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Illinois River Energy
Application for Employment
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Position(s) Applying For: * |
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Date: * |
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Name * |
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Address * |
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Email Address: * |
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Phone Number * |
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Alt. Phone Number |
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Are you 18 years or older? * |
Yes
No (If you are hired, you may be required to submit proof of age)
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If hired, can you furnish proof that you are eligable to work in the U.S.? * |
Yes
No
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How were you referred to us? |
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Have you ever been previously employed by our company? * |
Yes
No
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Have you applied here before? * |
Yes
No
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If yes, when? |
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Do you have a relative employed here? * |
Yes
No
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Are you now, or do you expect to be engaged in any other business or employment? * |
Yes
No
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If "Yes", explain: |
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Have you ever been convicted of a felony? * |
Yes
No
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If "Yes", explain: (a conviction will not automatically bar employment) |
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Note: You are not required to disclose, verbally or in writing, any record of a conviction that has been expunged or sealed.
Employment History:
List names of employers in consecutive order with present or last employer listed first. Account for all periods of time
including military
service and any periods of unemployment. If self-employed, give firm name and supply business references. Please give month and
year. Do not use 'See Resume'. Use additional upload if necessary. |
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Current or Most Recent Employer: |
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Position(s) Held: |
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Company Address |
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Telephone #: |
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Immediate Supervisor: |
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May we contact your current employer? |
Yes
No
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Dates Employed From: |
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Date To: |
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Salary: |
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Jobs Summary |
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Reason for Leaving: |
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Employer: |
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Position(s) Held: |
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Address |
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Telephone #: |
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Immediate Supervisor: |
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Dates Employed From: |
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Date To: |
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Salary: |
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Jobs Summary |
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Reason for Leaving: |
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Employer: |
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Position(s) Held: |
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Address |
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Telephone #: |
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Immediate Supervisor: |
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Dates Employed From: |
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Date To: |
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Salary: |
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Jobs Summary |
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Reason for Leaving: |
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Educational History:
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High School: |
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College/Technical School:: |
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Technical Training: |
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What machines or equipment can you operate that are related to the job you are applying for: |
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Other Skills and Qualifications
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Summarize any job-related skills, licenses, certificate, and/or other qualifications: |
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List professional, trade, business, or civic activities and office held. (Exclude labor organizations and memberships that reveal race, religion, national origin, sex, age, disability, or protected status.) |
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References:
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Name: |
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Relationship: |
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Telephone: |
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Years Known: |
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Name: |
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Relationship: |
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Telephone: |
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Years Known: |
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Name: |
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Relationship: |
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Telephone: |
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Years Known: |
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Signature
I hereby authorize Illinois River Energy, LLC to contact and obtain information from any and all previous employers, references, and
other institutions as necessary to verify the accuracy of the information I provided herein, including relevant facts and opinions about
my work and work habits. I also hereby release from liability IRE and its representatives for seeking, gathering, and using such
information to make employment decisions and all other persons or organizations for providing such information. I expressly authorize
any educational institutions that I have attended to provide transcripts and degree status, and I release from liability or responsibility
all persons or entities requesting or supplying such information. I further agree that this application and any other paperwork
completed by Illinois River Energy, LLC becomes the property of Illinois River Energy, LLC.
I understand that any offer of employment is contingent upon successful completion of reference and background screening and drug
testing results, and employment may be denied for failure to successfully complete this process.
I understand that any false information, misrepresentation, or material omission made by me on this application will be sufficient
cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.
If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an
agreement or contract for employment. Accordingly, either the employer or I can terminate the relationship at will, with or without
cause, at any time, so long as there is no violation of applicable federal or state law.
I understand that it is the policy of this company not to refuse to hire or otherwise discriminate against a qualified individual with a
disability because of that person's need for reasonable accommodation as required by the ADA.
I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within
three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.
I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions. |
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Signature: |
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Signature Date: |
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Upload Resume: |
Please name the file "Last Name - Resume" |
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Cover Letter: |
Please name the file "Last Name - CoverLetter" |