APPLICATION FOR EMPLOYMENT

Must be at least 15 years old to apply

NAME: * First Last
PHONE: * - ### - ### ####
MESSAGE PHONE: * - ### - ### ####
ADDRESS: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
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:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
BEGINNING DATE:
ENDING DATE:
REASON FOR LEAVING:
COMPANY #2:
SUPERVISOR:
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:
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 dexterpark@dexterpark-rec.com or faxed to 573-624-8244.

If applying for Aquatic Center positions, email to brooke@dexterpark-rec.com or fax to 573-624-8244
APPLICANT SIGNATURE: *

Clear
City of Dexter Parks and Recreation is an equal opportunity employer, considers applicants for all positions without regard to race, color, religion, sex, age, national origin, disabled or veteran status, or other legally protected status.

I hereby certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I understand that false statements of any kind or omission of facts called for on this application are a basis for dismissal regardless or when they are discovered. I understand that any employment offered is for an indefinite duration, unless otherwise specified in writing, and is at-will which means that either I or the City Of Dexter, Park Department may terminate my employment at any time with or without notice or cause. I further understand that neither the policies, rules, regulations of employment, application for employment, nor anything said during the interview process shall be deemed to constitute the terms of any implied employment contract.

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT

EDUCATION INFORMATION

PREVIOUS EMPLOYMENT HISTORY

A copy of your current driver's license can be emailed to dexterpark@dexterpark-rec.com or faxed to 573-624-8244. If applying for Aquatic Center positions, email to brooke@dexterpark-rec.com or fax to 573-624-8244

A copy of your current driver's license can be emailed to dexterpark@dexterpark-rec.com or faxed to 573-624-8244.

If applying for Aquatic Center positions, email to brooke@dexterpark-rec.com or fax to 573-624-8244