An Equal Opportunity Employer 325 N. O Plaine Road Gurnee, IL 60031 Phone: 847-599-7500 www.gurnee.il.us The Village of Gurnee Department accepts for employment and promotes its employees without regard to any status or class protected by federal, state, or local law. The Village of Gurnee bases its hiring practices and promotions on merit, experience, education and other qualifications applied to all candidates and in accordance with the principles of equal employment opportunity and as required by any other applicable federal, state, or local law. The Village of Gurnee complies with the American with Disabilities Act (ADA). Persons needing accommodations in the recruitment process should notify the Village of Gurnee Human Resources Director in advance. Read every question carefully and answer each question accurately. Any misrepresentation on this application whether actual or by omission may disqualify you for consideration of employment by the Village of Gurnee. Any false statements on this application will be considered sufficient cause for dismissal. Candidates not meeting the minimum qualifications for the position will not be considered. Any questions concerning the employment process should be directed to the Village of Gurnee Human Resource Department, 325 N. O Plaine Road, Gurnee, IL 60031; telephone number (847) 599-7500. Office use only: Date received: Time received: by: Return to: Village of Gurnee, 325 N. O Plaine Road, Gurnee, IL 60031 or email to chrisn@village.gurnee.il.us - faxed applications are NOT accepted. Due to the anticipated volume of applications, only candidates under consideration for interview will be contacted. Any offer of employment is contingent on passing a post-offer background and drug screen. Name COMPLETE ALL REQUESTED INFORMATION IN ITS ENTIRETY Complete and return the following pages by 3:00 p.m., Friday, June 9, 2017 Last First Middle Contact Phone Number Email address Are you a U.S. Citizen or have legal authorization to work in the United States? YES NO Are you bilingual? YES NO If Yes, in what language(s)? What is your level of fluency? (check all that apply) Speaking Reading Writing EDUCATION High School Name and City & State Diploma or GED Certificate? YES NO College / University Education: School Name, City & State Major / Curriculum Credit Hours Completed or Degree Earned School Name, City & State Major / Curriculum Credit Hours Completed or Degree Earned Page 1 of 6
EMPLOYMENT HISTORY List all employment you have had for the last ten (10) years, beginning with your current or most recent employer, including military experience and any period(s) of unemployment. Attach additional sheet if necessary. Employer Phone Employer Phone Employer Phone Employer Phone Page 2 of 6
EMPLOYMENT HISTORY, cont. Have you ever received formal discipline during any prior employment or job positions such as an oral reprimand, written reprimand, or suspension? NO YES (explain below) Have you been discharged or forced to resign from any employment (not including layoff)? NO YES (explain below) REFERENCES Please list three (3) professional references not related to you and not former employers, whom you have known for at least five (5) years. All persons to whom you refer will be asked to appraise your character, ability, experience, personality and other qualities. The Village of Gurnee or its designee reserves the right to contact the references at any time. Name Relationship Home phone Occupation Email address Cell phone Business phone Number of years acquainted Name Relationship Home phone Cell phone Business phone Occupation Number of years acquainted Email address Name Relationship Home phone Cell phone Business phone Occupation Number of years acquainted Email address Page 3 of 6
SUPPLEMENTAL QUESTIONS 1) Please indicate if you have experience performing the following duties (select all that apply): Providing customer service and assistance to visitors and telephone callers Communicating orally with a high volume of people on a daily basis Performing work of a routine nature for extended periods of time Collecting and processing payments for services Balancing and reconciling cash receipts Performing detail work where accuracy is critical (such as proofreading, numerical accuracy, coding) Providing general information and explanation of routine policies or procedures on a repetitive basis Completing work tasks in an environment that has frequent interruptions and distractions Mail distribution and processing Performing complex photocopying tasks (sorting, stapling, collating, multiple size originals) Performing tasks such as assembling and folding papers, stuffing envelopes, large mailing projects Searching records, completing forms, preparing reports Operating a computer terminal to enter, update, retrieve data Scanning documents and other materials Using a personal computer to prepare correspondence, reports, and documents Using a 10-key calculator / adding machine to perform mathematical calculations Using a multi-line phone system; transferring calls; retrieving voice mails; setting up night service Using a multi-function copy machine Using electronic mail programs Filing traditionally (paper) and electronically Performing tasks related to accounts payable functions [purchase orders, invoicing, check processing, tax form preparation and filings] Performing tasks related to payroll functions [generating payroll, check printing, deposit transactions, tax form preparation and filings] Performing tasks related to revenue collection Organizing and maintaining front desk operations 2) Choose the answer which best describes your ability to use Microsoft Word (need not have all abilities listed): Use Word to format and edit tables, columns, and charts; import data, sort table data, and perform calculations in tables; insert and format sections, create headers and footers and work with pictures and draw objects; create forms using templates, work with form fields, and format and enhance forms. Use Word to create, format, edit, preview, print, and save documents; use standard functions to select, edit copy, paste, format, and spell check text; create bulleted and numbered lists; indent and align paragraphs, use bordering and shading features; use mail merge to create form letters, modify merged documents, and merge envelopes and labels. Use Word to create basic letters and memos. Page 4 of 6
SUPPLEMENTAL QUESTIONS, cont. 3) Choose the answer which best describes your ability to use Microsoft Excel (need not have all abilities listed): Use Excel to create and manipulate large or complex spreadsheets; use complex mathematical formulas to calculate data and link worksheets; macros; import data from other sources, filter lists, and create and format charts and graphs. Use Excel to create, modify, print, and format spreadsheets; find and replace data; use standard formulas to perform basic calculations or other data manipulation; basic sorting tools and functions; use spreadsheet data for mail merge to word documents. Use Excel to create basic spreadsheets or update data on existing spreadsheet. 4) Please indicate your interest in the Part Time General Office Secretary position with the Gurnee Administration Department and why you feel you are qualified to join the Gurnee team: Page 5 of 6
ACKNOWLEDGMENT Read the following carefully before signing. Acknowledgment: I, the undersigned, certify that I have read and fully comprehend this application for employment with the Village of Gurnee ( Village ) in its entirety. I certify that the information provided on this application for employment and other submitted application materials is true and complete. I understand and agree that any incorrect statement, falsification, misrepresentation or omission of any information in connection with this application for employment or other submitted application materials, whenever or however discovered, will be sufficient reason not to hire and may result in discharge if hired. In submitting this application, I further understand that it becomes the property of the Village and will not be returned to me. I understand that submission of an application for employment does not obligate the Village to engage in further review of my application for employment. I understand that nothing in this document constitutes an offer of employment or employment contract and establishes no obligation on the part of the Village to employ me or for me to accept employment with the Village. I understand that any offer of employment, either verbal or written, is conditional upon the successful completion of a drug screen and, if required for position, a physical exam. I authorize investigation into my background, including, but not limited to, all statements contained in this application and any other document(s) submitted in connection therewith. I agree to cooperate in such an investigation. I release all parties from all liability for any damage that may result. I understand it is the policy of the Village that the results of any examination or other inquiries made as part of any testing, background and/or screening process are the property of the Village, and, as such, the Village is under no obligation to share the results of any examination or other inquiries with the candidate, unless specifically required to do so by state or federal law. I further acknowledge that I have fully read this document and am fully aware of the consequences thereof. Being so informed, I knowingly and voluntarily execute this release. A duplicate of this form shall carry the same force as the original. This document is effective for two years from date signed. Printed Name Signature Date Page 6 of 6
325 N. O Plaine Road Gurnee, IL 60031 847-599-7500 The Village of Gurnee collects the following information to evaluate its recruitment practices. Disclosure of information is on a voluntary basis. The information disclosed is confidential and will be maintained separate from your employment application. Submission or non-submission of this form shall not be used as a factor concerning eligibility for employment. Position applied for: PART TIME GENERAL OFFICE SECRETARY Recruitment Date: MAY / JUNE 2017 Name (optional) Gender Male Female Race / Ethnicity: Hispanic or Latino American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander Black or African American White How did you FIRST learn of this opportunity? Village of Gurnee website posting Social media announcement Facebook, Twitter Informed by a current Village of Gurnee employee Informed by a co-worker Informed by a friend or a relative Other referral source please indicate