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Village of Arlington Heights

33 S. Arlington Heights Road , Arlington Heights , IL, 60005, US


Village Manager's Office | 33 S. Arlington Heights Road, Arlington Heights, IL

Phone: 847.368.5161 | Fax: 847.368.5990

Employment Application

An Equal Opportunity Employer

It is the policy and intent of the Village of Arlington Heights to provide equality of opportunity to all persons regardless of sex, color, race, ancestry, religion, national origin, age, physical and mental handicap, marital status, sexual orientation, or any other protected group status. This policy applies to all aspects of our personnel policies, practice, and operations. The Village complies with the Americans with Disabilities Act (ADA). Persons needing accommodations in the recruitment process should notify the Human Resources Department in advance.


Personal Information

Full name

Full address

Upload your cover letter here:

Upload your resume here:

Employment Details

Have you previously applied for a job at the Village?

Are you a citizen of the United States?

Are you lawfully permitted to become employed in this country? Proof of eligibility required within three days of date hired.

Have you ever been convicted of any offense? The Village will not automatically reject an applicant who has been convicted. This information will only be used for job-related purposes and only to the extent permitted by law. There is no obligation to disclose expunged juvenile records.

Are you related to any Village employee or to an elected or appointed official?

Have you ever worked for the Village before?

How did you hear about this position?

Employment Desired

Type of position applying for

Date you can begin employment?


Select the highest degree obtained.

High School





Unsalaried Experience


Supervisor's Information

Please list your employment history beginning with your present or most recent position. It is important to be complete and account for all time periods greater than six months. Please include any military service in this section.

1. Employment History


Supervisor's Information

May we contact this employer?

2. Employment History


Supervisor's Information

May we contact this employer?

3. Employment History


Supervisor's Information

May we contact this employer?

4. Employment History


Supervisor's Information

May we contact this employer?

List the names of your supervisory references here:

1. Reference

Supervisor's Information

2. Reference

Supervisor's Information

3. Reference

Supervisor's Information

4. Reference

Supervisor's Information

Please Read the Following Before Signing

I certify that the answers to the above questions are true and complete and I understand that any false statement given in my application or other employment forms will be sufficient reason not to hire and may result in discharge if hired.

I authorize investigation of all statements contained herein and all information concerning my previous employment and any pertinent information that may be personal or otherwise and release all parties from all liability for any damage that may result.

I understand that the Village of Arlington Heights is in no way obligated to provide employment and that I am in no way obligated to accept employment with the Village. I understand I must notify the Village of any change of my name, address, or phone number, and understand that this application will be kept on file for six months, then inactivated. Nothing in the application is intended to create any contract of employment, expressed or implied, or to create any rights in the nature of a contract of employment.

I also understand that, if hired, I am required to abide by all rules and regulations of the Village of Arlington Heights. Employment and compensation can be terminated at any time with or without cause or notice. I agree and understand that all provisions in the Village Personnel Handbook are to be applied in a general manner and are not to be construed in any manner as contractual obligation between the Village and myself.

Any misrepresentation on this application whether actual or by omission may disqualify you for consideration of employment by the Village of Arlington Heights.

I understand that any offer of employment, either verbal or written, is conditional on the successful completion of a drug exam and (if required for position) a physical exam.


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