DEXTER PARKS & RECREATION APPLICATION FOR EMPLOYMENT

Must be at least 15 years old to apply

NAME: NAME: First Last
PHONE: PHONE: - ### - ### ####
MESSAGE PHONE: MESSAGE PHONE: - ### - ### ####
ADDRESS: ADDRESS:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
POSITION APPLYING FOR:

POSITION APPLYING FOR: LIFEGUARD POOL MANAGER POOL ADMISSIONS POOL CONCESSIONS POOL CUSTODIAL COMPLEX/GYM CONCESSIONS OFFICIAL/SCOREKEEPER BALLFIELD CREW SEASONAL SUMMER OTHER
EMAIL ADDRESS:
ARE YOU OVER 18 YEARS OLD?:

ARE YOU OVER 18 YEARS OLD?: YES NO
ARE YOU ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES?:

ARE YOU ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES?: YES NO
HAVE YOU EVER BEEN CONVICTED OF A CRIME OTHER THAN A MINOR TRAFFIC OFFENSE (INCLUDING DURING MILITARY SERVICE)?:

HAVE YOU EVER BEEN CONVICTED OF A CRIME OTHER THAN A MINOR TRAFFIC OFFENSE (INCLUDING DURING MILITARY SERVICE)?: YES NO
DRIVER LICENSE/PERMIT NUMBER:
EDUCATION INFORMATION
HIGH SCHOOL NAME:
DO YOU HAVE A HIGH SCHOOL DIPLOMA/EQUIVALENT?:

DO YOU HAVE A HIGH SCHOOL DIPLOMA/EQUIVALENT?: YES NO
COLLEGE/TECH SCHOOL:
DO YOU HAVE A COLLEGE/TECH DEGREE?:

DO YOU HAVE A COLLEGE/TECH DEGREE?: YES NO
ADDITIONAL COLLEGE/TECH SCHOOL:
DO YOU HAVE AN ADDITIONAL COLLEGE/TECH DEGREE?:

DO YOU HAVE AN ADDITIONAL COLLEGE/TECH DEGREE?: YES NO
CERTIFICATION TITLE (LIFEGUARD AND/OR CPR):
CERTIFICATION EXPIRATION DATE:
CERTIFICATION NUMBER:
ADDITIONAL CERTIFICATION TITLE (LIFEGUARD AND/OR CPR):
CERTIFICATION EXPIRATION DATE:
CERTIFICATION NUMBER:
PREVIOUS EMPLOYMENT HISTORY
COMPANY #1:
SUPERVISOR:
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
BEGINNING DATE:
ENDING DATE:
REASON FOR LEAVING:
COMPANY #2:
SUPERVISOR:
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
BEGINNING DATE:
ENDING DATE:
REASON FOR LEAVING:
COMPANY #3:
SUPERVISOR:
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
BEGINNING DATE:
ENDING DATE:
REASON FOR LEAVING:
A copy of your current driver's license can be emailed to jamie.rowe.dpr@gmail.com or faxed to 573-624-5298.
APPLICANT SIGNATURE:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

DEXTER PARKS & RECREATION APPLICATION FOR EMPLOYMENT

DEXTER PARKS & RECREATION APPLICATION FOR EMPLOYMENT

EDUCATION INFORMATION

PREVIOUS EMPLOYMENT HISTORY

A copy of your current driver's license can be emailed to jamie.rowe.dpr@gmail.com or faxed to 573-624-5298.