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Employment Application
  1. Untitled Document

    Since the first NAIDW team member joined us in the summer of 2009, NAIDW has been committed to hiring the most incredible people. What we’re building here is as much about creating a great team, as it is about creating a great foundation. By finding the right people, who share our values and our vision, we can proudly say that we move closer to our goals every day.

     

    NAIDW is seeking natural leaders, self-starters, highly competent, creative and talented professionals to join our team.

     

    National Association of Injured & Disabled Workers® | NAIDW, an An Illinois Not-For-Profit Corporation, located at P.O. Box 66 Fox Lake, IL 60020. Please do not hesitate to contact us at info@naidw.org if you have questions. Our telephone number is 888.788.NAIDW

     

    Please fill out this application in order to be considered for employment.

  2. Full Name(*)
    Please type your full name.
  3. Street Address
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  4. City
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  5. State
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  6. Zip Code
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  7. E-mail(*)
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  8. Phone Number
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  9. Social Security Number
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  10. Position Applied For
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  11. Are you a citizen of the United States?
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  12. Resident Alien Card Number
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  13. Have you ever been conficted of a felony?
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  14. If yes, explain
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  15. HIGH SCHOOL EDUCATION
  16. High School
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  17. Address
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  18. City
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  19. State
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  20. Did you graduate?
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  21. Date of Graduation
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  22. COLLEGE EDUCATION
  23. College1 Name
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  24. Address
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  25. City
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  26. State
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  27. Did you graduate?
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  28. Date of Graduation
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  29. College Degree
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  30. College 2 Name
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  31. Address
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  32. City
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  33. State
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  34. Did you graduate?
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  35. Date of Graduation
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  36. Additional Education Information or Comments
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  37. References
  38. Reference Name 1 (full name)
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  39. Reference Relationship
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  40. Company
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  41. Phone
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  42. Address
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  43. City
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  44. State
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  45. Zip Code
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  46. May we contact this reference?
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  47. Reference Relationship
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  48. Reference Name 2 (full name)
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  49. Company
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  50. Phone
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  51. Address
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  52. City
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  53. State
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  54. Zip Code
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  55. May we contact this reference?
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  56. EMPLOYMENT HISTORY: Employer #1
  57. Company Name 1
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  58. Phone
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  59. Address
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  60. City
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  61. State
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  62. Zip Code
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  63. Supervisor
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  64. Your Title was
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  65. Starting Salary (Annual)
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  66. Ending Salary (Annual)
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  67. Responsibilities Included
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  68. Reason for Leaving
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  69. May we contact this employer?
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  70. EMPLOYMENT HISTORY: Employer #2
  71. Company Name 2
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  72. Phone
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  73. Address
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  74. City
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  75. State
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  76. Zip Code
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  77. Supervisor
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  78. Your Title was
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  79. Starting Salary (Annual)
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  80. Ending Salary (Annual)
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  81. Responsibilities Included
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  82. Reason for Leaving
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  83. May we contact this employer?
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  84. MILITARY SERVICE:
  85. Military Branch
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  86. Dates of Service (From, to)
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  87. Rank at Discharge
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  88. Type of Discharge
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  89. SUPPORTING MATERIAL:
  90. Cover Letter
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  91. Resume
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  92. Any additional and pertinent information
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  93. I have read and agree to NAIDW's non-disclosure agreement(*)
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  94. Non Compete: Online Applicant hereby agrees that during the course of the Agreement and for a period of one (1) years immediately following the expiration or termination of the Agreement for any reason, whether with or without good cause or for any or no cause, at the option either of NAIDW or online applicant, with or without notice, online applicant will not directly compete with NAIDW, or provide related services to any company or association that can be considered in direct competition with NAIDW, without the prior written consent of NAIDW.
  95. I have read and agree to the non-compete clause if extended volunteer opportunities or employment.(*)
    Invalid Input
  96. Disclaimer and Virtual Signature: Checking all required boxes and typing your full name below will constitute as your virtual signature.
  97. Digital Signature (Full Name)(*)
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  98. ANTI-SPAM
    ANTI-SPAM
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  99.   

Careers | NAIDW

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NAIDW is strongly committed to protecting the privacy of our members and users. The information you submit through our website will not be sold. As a guard against unauthorized access and to maintain accurate data, we have implemented procedures to safeguard and secure the information we collect online. Submit the brief free case review form on this page and a NAIDW case representative will respond shortly to help assess your injury,illness, pain or disability case. Third party assistance may be required. All information is confidential.
Last modified on 28 December 2011

1 Comment

  • 1
    Kelly~Mariea Murphy Kelly~Mariea Murphy 25 January 2013, 14:37 Comment Link
    My name is Kelly~Mariea I am 35 years old. I have a Bachelors of Science Degree in Buisin Management. I am a self driven hard worker I am extremely computer literate. I am open to any open position. I always have my computer or smart phone with me at all times. Hope to hear back from you soon

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Contact | How Can We HELP?

NAIDW Int'l:

PO Box 66, Fox Lake, IL 60020

Telephone:

888.788.NAIDW 

Fax:

847.629.5149

Email:

info@naidw.org

Contact Form:

Can We HELP?