International Falls Recreation Department Work Application

Please answer all questions carefully and correctly
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
If hired, can you provide proof that you are 16 years or older?
Are you a high school graduate?
Drivers License Number
Do you hold any special licenses or certificates?
Describe:
Post Secondary Education:

Total years completed:
Degree(s) received:
Did you serve in the armed forces?
Branch:
Type of Discharge:
Beginning Rank:
Final Rank:
Are you a member of an Active Reserve?
Organization:
Have you ever been convicted of a crime which is a felony in Minnesota?
Please Explain:
Position applying for:
What qualities can you provide for this Position?
Are you currently employed?
Name of current or last employer:   First Name   Last Name
Address:
Street Address   Address Line 2   City   State   Zip
Employed from:   Date   to:   Date
Employment History within the last 5 years:
References:
#1:   First Name   Last Name   Phone:   Area Code   Phone Number
#2:   First Name   Last Name   Phone:   Area Code   Phone Number
#3:   First Name   Last Name   Phone:   Area Code   Phone Number
I hereby certify that all statements made on this application are true and completed to the best of my knowledge and ability. All applicants are subject to a thorough background investigation.
Signature

Clear
MonthDayYear
Date
Should be Empty:

References: