Employment Application

Please complete the web form below. Your application will only be considered if all the information is completed. Alternatively, you may download a PDF of this form and fax to 630-628-2350 or mail to the Ray Graham Association at 901 Warrenville Road, Suite 500, Lisle, IL 60532

Step 1 of 5 - Personal Information

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High School
City, State
Did you graduate and receive a DIPLOMA from this school?
- Yes
- No
If no, do you have a GED?
College
City, State
Did you graduate and receive a DIPLOMA from this school?
- Yes
- No
If yes, what was your degree?
Trade or Technical Training
City, State
What Certificate/Degree did you earn?
Please list any skills that you have that may be appropriate for the position(s) that you are applying for.

Please begin with MOST RECENT employer.
Employer 1
Address
Street AddressCityStateZip Code
Phone
Start Date
End Date
Title
Beginning Salary
Ending Salary
Reason for Leaving
May We Contact This Employer for Reference?
- Yes
- No
Supervisor
Employer 2
Address
Street AddressCityStateZip Code
Phone
Start Date
End Date
Title
Beginning Salary
Ending Salary
Reason for Leaving
May We Contact This Employer for Reference?
- Yes
- No
Supervisor
Employer 3
Address
Street AddressCityStateZip Code
Phone
Start Date
End Date
Title
Beginning Salary
Ending Salary
Reason for Leaving
May We Contact This Employer for Reference?
- Yes
- No
Supervisor
Employer 4
Address
Street AddressCityStateZip Code
Phone
Start Date
End Date
Title
Beginning Salary
Ending Salary
Reason for Leaving
May We Contact This Employer for Reference?
- Yes
- No
Supervisor

Please be aware that applicants are not obligated to disclose sealed or expunged conviction or arrest records. Therefore, you should NOT include any such information on the questions below:
Have you ever been convicted of a crime?
- Yes
- No
Have you had a traffic violation within the last three years?
- Yes
- No
Please list all friends or relatives that are employed by Ray Graham Association:
Please describe experiences you have had with adults and/or children with disabilities that you feel qualify you for the position(s) that you are applying for:
Have you ever worked for Ray Graham Association or applied with us before?
- Yes
- No
If yes, please provide dates:
Please list three PROFESSIONAL references that are not related to you but are familiar with the quality of your work, have worked directly with you, and have known you for at least two years.
Reference 1
FirstLast
Relationship
Primary Phone
Secondary Phone
Referance 2
FirstLast
Relationship
Primary Phone
Secondary Phone
Referance 3
FirstLast
Relationship
Primary Phone
Secondary Phone

ALL APPLICANTS MUST READ AND SIGN BELOW

The information contained in this application is true and correct to the best of my knowledge and belief. I understand that any misrepresentation of fact, as stated or implied, given in my application, interview(s) or any other employment form may be sufficient reason not to hire me or may be reason for discharge, should I be hired.

I understand and agree that all information furnished in this application may be investigated by Ray Graham Association or its authorized representative. I waive any right I may have to notice from individuals and organizations named or referred to in this application prior to the release of any employment information to Ray Graham Association. I hereby authorize all individuals in organizations named or referred to in this application and any law enforcement organizations to give Ray Graham Association all information relative to such investigation and hereby release such individuals, organizations and Ray Graham Association from any and all liability for any claim or damage resulting therefrom. I understand this request includes the right of Ray Graham Association to seek information on educational status as deemed by FERPA (Family Educational Rights & Privacy Act).

I understand that if I am hired, I am required to abide by all rules and regulations of Ray Graham Association and to comply with all policies and procedures. I also understand that policies and procedures are subject to modification at any time with or without notice.

I understand that Ray Graham Association is not obligated to provide employment and that I am not obligated to accept employment. Nothing in this application, or in any prior oral or written statement, is intended to create any contract of employment or to create any rights in the nature of a contract of employment. This application does not bind either party for a specific period of time regarding employment. I understand that no one has the authority to enter into any agreement contrary to the foregoing unless it is in writing and signed by an authorized representative of Ray Graham Association. If hired, I understand that nothing shall restrict my right as an employee to end my employment or the right of Ray Graham Association as an employer to terminate my employment except as detailed within the AFSCME agreement, as it applies to bargaining unit members only.
Ray Graham Association is an Equal Opportunity Employer. The Employer and the Union agree that no employee shall be discriminated against, intimidated, restrained or coerced in the exercise of any rights granted by the National Labor Relations Act or by the Agreement between the union and the employer, or on account of membership or non-membership in the Union or for lawful activities protected by the National Labor Relations Act.

In accordance with applicable federal and state law, neither the Association nor the Union shall discriminate on the basis of an employee’s race, creed , color, sex, sexual orientation, national origin, marital or parental status, source of income, religion, age, disability unrelated to the ability to perform the job, military discharge or veteran status, or other legally protected EEOC classification.
I hereby acknowledge that I have read and understand the above statement.*
Signature*

Ray Graham Association

Step 1 of 5 - Personal Information

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