Employment Application

Willett Hofmann & Associates, Inc. (WHA), is committed to the principles of equal employment opportunity/affirmative action in all areas of its employment process, including but not limited to recruitment, hiring, promotion, discipline, discharge, and the awarding of benefits for all qualified applicants. Therefore, race, color, religion, gender, sexual orientation, marital status, age, national origin, ancestry, physical or mental disability, veteran’s status (as defined in the Illinois Human Rights Act), citizenship status (consistent with Title 8, U.S. Code, Section 1324A), arrest record, or any other non-merit factor, except bona fide occupational qualification (BFOQ), will be excluded from any employment decision or service provided by WHA.

In addition, it is the policy of WHA that its employees and applicants for employment will be free from any harassment based on race, color, religion, gender, sexual orientation, marital status, national origin, ancestry, physical or mental disability, or age.

WHA is an Equal Opportunity Employer and provides reasonable accommodation to applicants and employees with disabilities.

Are you currently bound by any contract or agreement that would legally prevent you from being employed with us?
Personal Information
E-mail:*
Last Name:*
First Name:*
Middle Name:
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone:*
Alternate Phone:
Pay Expected:
Will you work overtime if asked?
When will you be available to begin work?
Have you ever applied for employment with us?
If yes, Month and Year:
Position Desired:
Apart from absence for religious observance, are you available for full-time work?
If not, what hours can you work?
Are you legally eligible for employment in the United States?
Other special training or skills (languages, machine operation, etc.)
Education History
Graduate School Name & Location:
Graduate Course of Study:
Graduate Years:
Graduate Degree:
Graduated:
College School Name & Location:
College Course of Study:
College Years:
College Degree:
College Graduated:
Trade/Tech School Name & Location:
Trade/Tech Course of Study:
Trade/Tech Years:
Trade/Tech Degree:
Trade/Tech Graduated:
H.S. School Name & Location:
H.S. Course of Study:
H.S. Years:
H.S. Degree:
H.S. Graduated:
Membership Information
Membership in Professional or Civic Organizations
(Exclude those which may disclose your race color religion or national origin)
Employment History
Company #1:
Company #1 Address:
Street Address City State / Province / Region ZIP / Postal Code
Company #1 Phone:
Company #1 Supervisor Name:
Company #1 Employed From:
MM slash DD slash YYYY
Company #1 Employed To:
MM slash DD slash YYYY
Company #1 Job Title and Describe Your Work:
Company #1 Reason for Leaving:
Company #2:
Company #2 Address:
Street Address City State / Province / Region ZIP / Postal Code
Company #2 Phone:
Company #2 Supervisor Name:
Company #2 Employed From:
MM slash DD slash YYYY
Company #2 Employed To:
MM slash DD slash YYYY
Company #2 Job Title and Describe Your Work:
Company #2 Reason for Leaving:
Company #3:
Company #3 Address:
Street Address City State / Province / Region ZIP / Postal Code
Company #3 Phone:
Company #3 Supervisor Name:
Company #3 Employed From:
MM slash DD slash YYYY
Company #3 Employed To:
MM slash DD slash YYYY
Company #3 Job Title and Describe Your Work:
Company #3 Reason for Leaving:
Company #4:
Company #4 Address:
Street Address City State / Province / Region ZIP / Postal Code
Company #4 Phone:
Company #4 Supervisor Name:
Company #4 Employed From:
MM slash DD slash YYYY
Company #4 Employed To:
MM slash DD slash YYYY
Company #4 Job Title and Describe Your Work:
Company #4 Reason for Leaving:
DO NOT CONTACT
We may contact the employers listed above unless you indicate those you do not want us to contact.
Employer Number(s):
Reason:
Military Information
Did you serve in the U.S. Armed Forces?
If Yes, in what branch?
Describe any training relevant to the position for which you are applying.
The information requested is needed for a legally permissible reason, including, without limitation, national security considerations, a legitimate occupational qualification or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination based on age, citizenship and disability. The Laws of most States also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based upon ancestry, marital status and sexual preference.
Are you over 18 years of age?
If No, Employment is subject to verification of age.
State names of relatives and friends working for us, other than your spouse.
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Employment Application

Personal Information

Education History

Membership Information

Employment History

DO NOT CONTACT

Military Information

We are dedicated to serve our clients Ethically, Responsively and Professionally with highly trained and skilled staff.