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Employment Application

  1. Applicant Information

  2. Are you a citizen of the United States?

  3. If no, are you authorized to work in the U.S.?

  4. Have you ever been convicted of a felony?

  5. Have you ever worked for the City of East Chicago?

  6. Education

  7. Did you graduate?

  8. Did you graduate?

  9. Did you graduate?

  10. References

    Please list two references.

  11. Desired Position

    In the order of your preference list three positions that you wish to be considered for the summer employment. Submitting your preference does not guarantee the position. (i.e. Lifeguard, Recreation Leader, Basket Attendant, or Labor)

  12. Previous Employment

  13. May we contact your previous supervisor for a reference?

  14. May we contact your previous supervisor for a reference?

  15. Military Service

  16. Disclaimer & Signature

  17. The City of East Chicago is an equal opportunity employer. The City does not discriminate in employment, and questions on this application are not used for the purpose of limiting or excluding any applicant’s consideration for employment unless prohibited by local, state or federal law.

    If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

    I hereby affirm that the information provided on this application is true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in dismissal if discovered at a later date.

  18. Leave This Blank:

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