Applicant information
Are you under 18 years of age? *
no
yes
Have you ever been employed by Kohl Children’s Museum?
no
yes
If yes, when?
Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year 2015 2016 2017 2018 2019
Have you ever been known by any other legal name? *
no
yes
If yes, explain
Are you legally authorized to work in the United States?
no
yes
Proof of identity and authorization will be required upon employment.
Will you now or in the future require sponsorship for employment status (i.e. H1-B visa)? *
no
yes
Employment Record
List present or most recent position first (include the Armed Forces) for the past 3 jobs
Include starting and ending dates, employer’s name and address, supervisor name and title, your position, and reason for leaving.
Are you currently employed? *
no
yes
If yes, may we contact your present employer?
N/A
no
yes
Demographic Information
To comply with reporting requirements and to aid us in tracking applicant demographics as we continue our work with diversity, equity, access and inclusion, we invite you to voluntarily self-identify your race/ethnicity, veteran status, and gender. This information will remain confidential and will only be used for internal purposes. Please indicate the categories in which you identify:
Race/Ethnicity:
Hispanic or Latino/a: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
Black or African American: A person having origins in any of the black racial groups of Africa
Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guan, Samoa, or other Pacific Islands
White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa
2 or more races
Veteran Status:
I am a Veteran
I am not a Veteran
Gender:
Male
Female
Non-binary
Applicant’s Authorization and Certification
Please Read Carefully *
I hereby affirm that this application was completed by me and that my answers to these statements and questions are true, and correct to the best of my knowledge. I have not knowingly withheld any fact or circumstance that would, if disclosed, affect my application unfavorably.
I understand that any misrepresentation, deception, or false statement made in this Employment Application may result in my not being considered for employment and if not discovered by Kohl Children’s Museum until after my becoming employed, is grounds for, and may result in, my immediate termination.
I understand that this Employment Application is not an offer of employment. I further understand that if I am hired by Kohl Children’s Museum, I will be an at-will employee, which means that either the Museum or I may end my employment at any time with or without cause or notice. I understand that no written materials or verbal statements by Kohl Children’s Museum will constitute an express or implied contract or agreement of continued employment or of any wage rate, benefit or other term or condition of employment. I also understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Kohl Children’s Museum to hire me. If I am employed, I agree to conform to the employment rules and policies of Kohl Children’s Museum.
By submitting this Employment Application, I acknowledge that I have read and understand the above statements.