Employment Application

Thank you for your interest in joining the staff at Apostolic Christian Skylines. It is the policy of Apostolic Christian Skylines to give equal opportunity to all qualified persons without regard to race, color, religion, sex, marital status, disability, national origin or age.

To apply for an employment position, you may fill out the following form and click submit, or you may print the PDF Employment Application, fill it out, and drop it off in person, or mail to: Apostolic Christian Skylines, 7023 NE Skyline Drive, Peoria IL 61614.

Apostolic Christian Skylines Application for Employment

1. You must fully and accurately complete this application for employment. Incomplete applications will not be considered. If the item does not apply, type N/A.

2. This application for employment will be inactive after ninety (90) days. If you want to be considered after that time, you must complete a new application for employment.

Application Category

Please Choose From the Dropdown:

Date:

Name: (Last, First, Middle Initial)

E-mail Address:

Phone Number:

Street Address:

City:

State:

Zip Code:

If you are hired, can you supply proof of your age?

Yes
No

If you are hired, can you supply the required documentation to verify your lawful right to work in the United States?

Yes
No

Have you ever been convicted of a felony or misdemeanor?

Yes
No

If yes, please explain:

Position desired:

Date you can start:

Salary desired:

Are you employed now?

Yes
No

If so, may we inquire of your present employer?

Yes
No

If R.N. or L.P.N. give State Liscense #:

If applying for C.N.A. are you certified?

Yes
No

Have you ever been employeed by this facility?

Yes
No

If so, dates:

What shift(s) are you interested in?

Education

Name & Location of School, Number of Years Attended

Elementary:

Diploma:

Yes
No

High School:

Diploma:

Yes
No

College:

Diploma:

Yes
No

Other Schooling:

Diploma:

Yes
No

Do you know or are you related to any employee or resident here?

Yes
No

If so, whom?

References

Give names of THREE (3) people not related to you but who have known you at least one year.

Name, Address, Phone, Business, Years Known

1.

2.

3.

Former Employers

(Give most recent employer FIRST) (List name used at each place of employment if different)

1. Name & Phone of Employer:

Dates employed:

Wage received:

Position:

Reason for leaving:

2. Name & Phone of Employer:

Dates employed:

Wage received:

Position:

Reason for leaving:

3. Name & Phone of Employer:

Dates employed:

Wage received:

Position:

Reason for leaving:

4. Name & Phone of Employer:

Dates employed:

Wage received:

Position:

Reason for leaving:

What prompted you to apply or who referred you?

Use this space to give us any information which you feel would be helpful to us in deciding why you would make a good employee.

Site Resources

Employment Application

Apostolic Christian Skylines Application for Employment