Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Village of Homer Glen Employment Application

  1. Primary_Logo_Without_Tagline_Vertical
  2. Village of Homer Glen Application for Employment

    Instructions: Thank you for your interest in the Village of Homer Glen. Please fill out this application completely and accurately. If a question does not apply to you, insert "N/A" in the answer space. If you are an individual with a disability and require assistance or accommodation in filling out this application, please contact Stacy Patrianakos, Human Resource Manager at 708-301-0632. all information contained in or connected with this application will be considered personal and confidential and used only in connection with your possible employment by the Village of Homer Glen.

    It is the policy and intent of the Village of Homer Glen to provide equal employment opportunity in employment to all persons. This policy applies to all types of full-time, part-time, temporary and seasonal employment.

  3. GENERAL INFORMATION
  4. Type of Employment
  5. PERSONAL INFORMATION
  6. Have you ever been employed by the Village of Homer Glen?
  7. Do you have family members or relatives currently working for the Village of Homer Glen?
  8. Are you legally authorized to work in the United States?

    (Proof that you are authorized to work in the United States will be required upon employment) 

  9. EDUCATION AND TRAINING
  10. Education Level
  11. Check last year completed
  12. Degree Earned
  13. Check last year completed
  14. Degree Earned
  15. Do you have a valid Driver's License?
  16. Do you have a valid CDL License?

    (check all that apply) 

  17. EMPLOYMENT HISTORY

    Please begin with your present or most recent employer and provide all the information requested.

  18. May we contact employer?
  19. May we contact employer?
  20. May we contact employer?
  21. MILITARY SERVICE
  22. Military Service

    Have you ever served or are you currently serving in the US Armed Forces or National Guard?

  23. PROFESSIONAL REFERENCES

    Please list three references that are familiar with your work history and experience. Do not list relatives, friends, or personal references.

  24. PLEASE READ CAREFULLY

    I hereby certify that the information contained in this application is true and correct to the best of my knowledge, and understand that making false or incomplete statements on this application in any item or detail is grounds for disqualification from further consideration for employment, or for dismissal.

    I understand that all candidates hired are subject to satisfactory completion of a probationary period, drug screen and background investigation. I authorize the investigation of all statements and information contained in this application. I release the Village of Homer Glen from any and all liability that might result from conducting a background investigation. I also release from liability anyone supplying information pursuant to such investigation.

    I agree to conform to the rules and regulations of the Village of Homer Glen and understand that my employment and compensation are at-will and can be terminated at any time, with or without cause, and with or without notice, at the option of either the Village of Homer Glen or me. I further understand that no representative of the Village of Homer Glen, other than the Village Manager, has any authority to offer me employment for any specified period of time.

  25. Leave This Blank:

  26. This field is not part of the form submission.