APPLICATION FOR EMPLOYMENT

All applicants are subject to a criminal background investigation.

At this time we are accepting applications only for the positions listed.
Currently Available Positions:
(When applying for more than one position, prioritize your choices 1, 2, 3, etc.)

After School Care Staff
Recreation Center Building Supervisor

QUALIFICATIONS (*Needed for Asterisked Positions)

     CPR       First Aid       Lifeguard Certificate

PERSONAL INFORMATION
Fields marked in RED are required.

Name
Email
Age
Date of Birth

(MM / DD / YYYY)
Address
City
State
Zip
Home Phone

Your Cell Phone

(if none leave blank)

School Address
(if in college)
School Phone
Emergency Name
Emergency Phone
Date able to Start

(MM / DD / YYYY)
Ending Date

(MM / DD / YYYY)

REFERENCES

Name
Address
Phone
Yrs. Acquainted

FORMER EMPLOYERS

Name
Address
Phone
Dates Employed

    

 
 
 
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