Eberhardt village or arthur home
online employment application

Use this simple form below to initiate an employment application. We will review your online application keep it on file for 90 days. If a suitable opening occurs, we will contact you for additional information or to arrange an interview. You may reapply online every 90 days to maintain a current file.

***NOTE***
Use your "TAB" key to move from field to field in this form and then
use your MOUSE TO SUBMIT THE FORM when completed.

* - denotes a required field

First Name     *
Last Name      *
Day time Phone: *
Email Address:
Social Security Number

Address :
Address 2:
City:
State:
Zip Code
Years at this address

Position Applied for

You are applying for-
      The Arthur Home    Eberhardt Village     Either

You are applying for-
Full Time    Yes    No                                   Part Time       Yes    No
Specify Days and Hours Available if part time

Briefly state any special skills or qualifications you have which you feel are related to the position you are applying for

Were you previously employed by us in any capacity?
    Yes               No
If Yes, When?

List any friends or relatives working for us:

Have you ever been convicted of a crime?   Yes    No
(Conviction of a crime will not necessarily preclude your employment)
If Yes, Describe in Full:

When are you available for work?

Education:
High School: Name/Location/Year Completed/Graduate Y or N

College: Name/Location/Year Completed/Graduate Y or N/
Course Work/Degree or Diploma

Other Education:

Military Service
Have you served in the Armed Forces?   Y   N
If Yes, which branch?
Duty dates- From to
Were you honorably discharged? Y   N
Rank at Discharge
List Special Training applicable to employment:

Personal References
List the names, address and daytime phone number of at least 3 persons.
Do NOT include relatives or former employers.

Employment Record
Name and Address of Company and type of Business

Employed From: to
Describe Work in Detail:
Weekly Starting Salary   Ending Salary
Reason for Leaving
Supervisors Name

Name and Address of Company and type of Business

Employed From: to
Describe Work in Detail:
Weekly Starting Salary   Ending Salary
Reason for Leaving
Supervisors Name

Name and Address of Company and type of Business

Employed From: to
Describe Work in Detail:
Weekly Starting Salary   Ending Salary
Reason for Leaving
Supervisors Name

May we contact the above employers? Y   N

This institution does not discriminate in hiring or in any decision on the basis of race, color, sex, citizenship, national origin, ancestry, Vietnam era veteran status, or on the basis of age, or physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination.

I understand that an offer of employment may be contingent on my taking and passing a physical examination which relates to the essential duties I would be required to perform.

I understand that my employment will be at will and that either party will have the right to terminate the employment relationship at any time without cause.

I also understand that any misstatement or omission of fact on this or subsequent forms may be grounds for termination.

By submitting this form electronically, I acknowledge that I have read this entire form and that I voluntarily give Eberhardt Village, The Arthur Home, and Eberhardt Senior Community the right to make a thorough investigation of my past employment and activities, and agree to cooperate in such investigations and release from all liability or responsibility all persons, companies, or corporations supplying such information.

Please call or email with questions, 217.543.3705
or evinfo@arthurhome.com

Or visit us today:
431 West Palmer St
Arthur, Illinois 61911

Eberhardt village or arthur home online employment application

Eberhardt village or arthur home
online employment application