Application for Employment

Application for Employment



All Questions Must be Answered State "N/A" if Questions is Not Applicable

Butler Funeral Home and Cremation Tribute Center is an Equal Oppurtunity Employer
Applications are received and employees are hired without regard to rece, creed, color, sex, religion, age, national origin, marital status, physical or mental handicap, disability, genetic information, sexual orientation, veteran's status, citizenship status, or any other protected classes under state, local or county regulations. The receipt of this application does not mean that job openings exist and does not obligate us in any way. We appreciate your interest in our organization.

This is a Drug-Free Workplace

List most recent or current job first; You must include any gaps in employment, with a full explanation and dates for the gap. You must also provide a complete work history. If you need more space to provide a full work history, request additional work history pages.

Additional Work History Page

Agreement Release

For the purpose of this agreement and release, the company you are applying for employment with is referred to as "the company," "this company," or "you" in the following paragraphs. The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application (even if discovered after employment) or any other employment form may lead to dismissal or denial of employment. You are hereby authorized to make any investigation of my personal history, financial, criminal, credit, and motor vehicle records through any investigative or credit agencies or bureaus of criminal record or sentence is not an automatic disqualification for employment. I agree to submit to any drug or alcohol testing prior to or after employment, and I agree to submit to a medical evaluation, if required, I consent to the release of any or all medical information or records deemed necessary to determine my capability to perform the essential job functions of the position for which I may hold.

In making this application for employment, I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. I also acknowledge that the company may conduct a search for information about me that is in the public domain including, but not limited to, information on social networking sites, In exchange for the consideration of my employment application by this company, I hereby release and forever discharge this company (including is directors, officers, employees, and agents) and my past and/or present employers (including their directors, officers, employees, and agents) from any liabilities which may result from an investigation of my past and/or present employment or from the disclosure of such information. I authorize the use of any information in this application to verify my statements, and I authorize past employers, doctors, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record.

I understand that if my application is accepted and if I am hired, that employment with this company at all times is employment "at will." It is further understood that this "at will" relationship may not be changed by any written document, verbal statements, or by conduct unless an authorized executive of this company specifically acknowledges such change. I further understand that my "at will" employment may be terminated at any time by this company or myself and includes no guarantee, contract, or promise of employment for any specific length of time. I understand that the first 90 days of employment is a new-hire introductory period. The submission of this application does not imply that I will be hired.

I have read, understand, and by my signature consent to these statements.


Butler Funeral Home & Cremation Tribute Center- Springfield
Phone: (217) 544-4646
900 S. Sixth St., Springfield, lL 62703

Butler Funeral Home-New Berlin
Phone: (217) 488-3535
714 E. Gibson St., New Berlin, lL 62670

Butler Funeral Home & Cremation Tribute Center- Chatham
Phone: (217) 483-9292
8855 State Route 4, Chatham, IL 62629

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