Community Resources

Parkview is located near a wide selection of family-oriented Freeport restaurants, such as The Union Dairy, Maria’s Pizza, the Applebees, Imperial Palace (Chinese cuisine), and Cimino’s or Cannova’s (Italian cuisine) along with many familiar fast-food restaurants.

Parkview is conveniently located across the street from beautiful & historic Krape Park and a convenient walking path. Just minutes away is the YMCA, Highland Community College, Little Cubs Field, Freeport Public Library, golf courses, churches, medical facilities, shopping, and other Freeport attractions.

Application for Employment

Date
MM slash DD slash YYYY
Personal Information
First Name*
Last Name*
Middle Initial*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Home Telephone
Cell Phone
Previous Legal Names
Are you legally eligible for employment in the United States*
- Yes
- No
United States Visa Status, if applicable
Are you at least 18 years old*
- Yes
- No
Have you ever been terminated or allowed to resign prior to termination?*
- Yes
- No
Please Explain*
Position Information
Salary*
Position applying for Salary desired
Employment Status Desired*
- Full Time
- Part Time
- Temporary
What hours are you available to work?*
If hired, when could you start?*
How did you hear about this job?*
Have you ever been employed by Parkview*
- Yes
- No
If so, when and what position?*
Employment History
Most Recent First
Job 1
Job Title
Employer
Duties
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Supervisor's Name
May we Contact
- Yes
- No
Phone
Reason for Leaving
Job 2
Job Title
Employer
Duties
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Supervisor's Name
May we Contact
- Yes
- No
Phone
Reason for Leaving
Job 3
Job Title
Employer
Duties
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Supervisor's Name
May we Contact
- Yes
- No
Phone
Reason for Leaving
Education
Grades of School Name of School Location of School Years Attended Did You Graduate Subjects Studied
Skills
Clerical/Office Skills
Computer Skills
Other Special Knowledge or Skills
Language
Certifications
References
Reference 1
Name*
Relationship*
Years Known*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 2
Name*
Relationship*
Years Known*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 3
Name*
Relationship*
Years Known*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Senior Resource Center

Grades of School	Name of School	Location of School	Years Attended	Did You Graduate	Subjects Studied

Position applying for	Salary desired

Community Resources

Application for Employment

Personal Information

Position Information

Employment History

Job 1

Job 2

Job 3

Education

Skills

References

Reference 1

Reference 2

Reference 3