Employment Application – Eagle Lake Community Association

*Eagle Lake Community Association, Inc. *IS AN EQUAL OPPORTUNITY EMPLOYER. Eagle Lake Community Association, Inc. ensures all job applicants are considered for employment without discrimination on the basis of race, color, creed, religion, ancestry, age, sex, marital status, pregnancy, sexual orientation, medical condition, national origin, disability or handicap, veteran status, or other basis prohibited by law.

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

Email

Please attach your resume (optional)

Position Desired

Salary Requirements

Have you worked for Eagle Lake perviously?*

Do you have any relatives who have worked for our organization?*

Name of Relative

First Last

Please indicate any special skills, certifications or qualifications related to the position you are applying for.

Education

Please list the name, address, course of study, years completed, and if you are a graduate.

High School

College

Other

General Information

US Military or Military Reserve Information

Please include Branch, Duty, Location, Highest Rank, and Years of Service

Are you legally authorized to work in the United States?*

Have you ever been convicted of a felony or a misdemeanor?*

A conviction will not necessarily result in the denial of unemployment.

Employment History

Please list most recent or current employer first.

Employer (1) Name

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position

Supervisors Name

Duties

Reason for Leaving

Starting Wage

Ending Wage

Start Date

End Date

Employer (2) Name

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position

Supervisors Name

Duties

Reason for Leaving

Starting Wage

Ending Wage

Start Date

End Date

Personal References

Please give below the names of people not related to you, whom you have known for at least one year.

Reference (1) Name

First Last

Phone

Occupation and Years Known

Reference (2) Name

First Last

Phone

Occupation and Years Known

Reference (3) Name

First Last

Phone

Occupation and Years Known

Consent*

I agree to the statements below.

By submitting this application:
I CERTIFY THAT MY ANSWERS ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
I UNDERSTAND THAT ANY FALSE STATEMENT, ANSWER, OR OMISSION MADE BY MYSELF IN THIS APPLICATION ON OR IN SUPPORT OF MY APPLICATION MAY BE SUBJECT TO MY TERMINATION OF EMPLOYMENT AT ANY TIME DURING MY EMPLOYMENT, AND THAT THE ORGANIZATION SHALL NOT BE LIABLE IF MY EMPLOYMENT IS TERMINATED
I UNDERSTAND THAT AS AN EMPLOYEE OF EAGLE LAKE COMMUNITY ASSOCIATION, INC. I MAY BE SUBJECTED TO RANDOM DRUG SCREENINGS THROUGHOUT MY ENTIRE EMPLOYMENT AS STATED IN THE EMPLOYEE POLICY
I AUTHORIZE THE RELEASE OF ANY INFORMATION REQUIRED TO DETERMINE MY QUALIFICATIONS FROM PAST AND PRESENT EMPLOYERS, POLICE DEPARTMENTS, COURTS, DRIVING RECORDS, ETC. I HEREBY RELEASE THEM, THEIR EMPLOYEES, AND THE ORGANIZATION FROM ALL LIABILITY FOR ANY DAMAGE WHATSOEVER FOR PROVIDING AND OBTAINING THIS INFORMATION
I UNDERSTAND THAT PENNSYLVANIA IS AN EMPLOYMENT-AT-WILL STATE AND THAT EAGLE LAKE COMMUNITY
ASSOCIATION, INC. DOES NOT OFFER TENURED OR GUARANTEED EMPLOYMENT. EITHER THE COMPANY OR THE EMPLOYEE CAN TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, WITH OR WITHOUT CAUSE OR NOTICE

Name

First Last

ELCA Employment Application

Education

General Information

Employment History

Personal References