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info@barbcitymanor.org
680 Haish Blvd DeKalb, IL 60115
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Where to Begin
Financial Planner
Amenities
FAQ’s
Tour
About
News & Events
Activity Calendar
News & Events
Newsletter
Careers
Giving & Volunteering
Contact
Job Opportunities at Barb City Manor
Current Opening
We are always accepting applications for other positions.
APPLICATIONS FOR OTHER POSITIONS WILL BE KEPT ON FILE.
CHECK BACK OFTEN FOR MORE OPEN POSITIONS
BARB CITY MANOR APPLICATION FOR EMPLOYMENT
PRE-EMPLOYMENT QUESTIONNAIRE - AN EQUAL OPPORTUNITY EMPLOYER
First name
Middle Name
Last Name
Present Address
Address
City
State
Zip Code
Permanent Address
Address
City
State
Zip Code
Phone
Are you 18 or Older?
Yes
No
Application Date
Attach Resume
Have you been convicted of a felony or misdemeanor?
Yes
No
If Yes Describe
BEFORE E:MPLOYMENT A CRIMINAL BACKGROUND CHECK WILL BE CONDUCTED AND YOU MAY BE REQUIRED TO HA VE A DRUG TEST AND PHYSICAL. Are you prevented from lawfully becoming employed in this country because of VISA or immigration status?
Yes
No
Employment Desired
Position
Date you can Start
Salary Desired
Are you Employed Now?
Yes
No
(If Yes) May we contact employer?
Yes
No
Have you ever applied to BCM before?
Yes
No
When?
Referred by
GENERAL
Subjects of special study or special skills
Activities (Civic or Athletic)
U.S. Military Service (Past or Present)
Yes
No
Rank
National Guard or Reserves
Yes
No
Former Employer (List below last three employers, starting with last one first).
Date Month/Year (From / To)
Name & Phone of Employer
Salary
Position
Name & Phone of Employer
Salary
Position
Reason for Leaving
Name & Phone of Employer
Salary
Position
Reason for Leaving
Which of these jobs did you like the best?
What did you like most about this job?
REFERENCES: Give the names of three persons not related to you, whom you have known at least one year.
Name
Phone Number
Business
Years Aquainted
Name
Phone Number
Business
Years Aquainted
Name
Phone Number
Business
Years Aquainted
In case of emergency notify
Emergency Contact Name
Emergency Contact Address
Emergency Contact Phone
"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if! am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated with or without cause, and with or without notice, at any time, at either my or the company's option. I also unded. and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company."
Todays Date
SIGNATURE
Submit Application
