East Brunswick Recreation & Parks - General Employment Application

GENERAL EMPLOYMENT APPLICATION

"An equal opportunity and ADA Employer"
334 Dunhams Corner Road
East Brunswick, NJ 08816
732-390-6797
recreation@eastbrunswick.org
www.eastbrunswick.org/recreation
Thank you for your interest in applying to work for the East Brunswick Recreation and Park Department.

We are currently hiring for the following positions. You must be the required age as of September 1, 2024:
- Adaptive Recreation Staff (Fall, Winter, Spring) - Must be at least 15
- East Brunswick Youth Council Chaperone - Must be at least 21
- Recreation Program Instructor - Must be at least 18
- Recreation Sports Program Coach - Must be at least 18
- Recreation Sports Program Assistant Coach - Must be at least 16
- Seasonal Park Staff - Must be at least 18
Please indicate below which position(s) you are interested in.
Position Applying For:*
Name:*

First NameMiddle NameLast Name
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone:*
Email:*
Please give us the email address that you check on a regular basis.
If under 18, please list your age here:
T Shirt Size:*

SMLXLXXLOther
Are you currently authorized to work in the United States?:*

YESNO
Are you currently or previously employed by the Township, Library or Crystal Springs?:*

YESNO
If Yes, what Department?:
Dates of Employment:
EDUCATION:
High School:
Current Grade:

9th10th11th12th
College:
Current Year:

FreshmanSophomoreJuniorSenior
Study Major:
Degree Earned (if any):
Do you have any special licenses, experiences, or skills?:*

YESNO
If yes, please list them here:
REFERENCES:

Give the names of three (3) people you are NOT related to whom you have known at least one (1) year.
Reference 1 Name:*
Please give both first and last name.
Reference 1 Phone Number:
Please enter a valid phone number.
Reference 1 Email:*
example@example.com
Reference 2 Name:*
Please give both first and last name.
Reference 2 Phone Number:
Please enter a valid phone number.
Reference 2 Email:*
example@example.com
Reference 3 Name:*
Please give both first and last name.
Reference 3 Phone Number:
Please enter a valid phone number.
Reference 3 Email:*
example@example.com
EMPLOYMENT EXPERIENCE:
Number of Employers in Last 5 Years:*
Are you employed now?:*

YESNO
May we contact Previous Employer?:*

YESNO
May we contact Present Employer?:*

YESNO
Please list your work experiences beginning with your most recent job held.
Please include Military assignments and Volunteer Activities.
Name of Employer 1:*
If NONE, please write NONE.
Job Title (Employer 1):*
If NONE, please write NONE.
Employment Dates (Employer 1):*
Please give both start and end dates. If still employed, please indicate that. If NONE, please write NONE.
Supervisor's Name (Employer 1):*
Please give both first and last name. If NONE, please write NONE.
Supervisor's Email and/or Phone Number (Employer 1):*
If NONE, please write NONE.
Reason for Leaving Employer 1:*
If still employed, please indicate that. If NONE, please write NONE.
Name of Employer 2:*
If NONE, please write NONE.
Job Title (Employer 2):*
If NONE, please write NONE.
Employment Dates (Employer 2):*
Please give both start and end dates. If still employed, please indicate that. If NONE, please write NONE.
Supervisor's Name (Employer 2):*
Please give both first and last name. If NONE, please write NONE.
Supervisor's Email and/or Phone Number (Employer 2):*
If NONE, please write NONE.
Reason for Leaving Employer 2:*
If still employed, please indicate that. If NONE, please write NONE.
AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING BELOW)

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with the Township of East Brunswick creates an actual or implied contract of employment. I understand that, if I accept employment with the Township of East Brunswick, it will be on an at-will basis. This means that either the Township of East Brunswick or I have the right to terminate the employment relationship at any time, for any reason, with or without cause. I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I authorize the Township of East Brunswick to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I understand that any offer of employment may be subject to a criminal history check and a sex offender registry check and I authorize the Township of East Brunswick, and any third party it may utilize, to conduct these background checks. I waive any and all claims and release the Township of East Brunswick, its elected and appointed officials, representatives, officers, employees, agents, successors and assigns, from all liability arising from such investigations, background checks, criminal history checks, and sex offender registry checks.

I understand that orientation/training is mandatory for my employment.
Applicant's Signature:*

Clear
Date*

MonthDayYear
Date
PARENTAL CONSENT FOR MINORS
(COMPLETE ONLY IF APPLICANT IS A MINOR)

I affirm that I am the parent/legal guardian of the above-named applicant. On behalf ofmyself and minor child, I authorize the Township of East Brunswick, and any third party it may utilize, to conduct a job- related investigation concerning the minor child's education, employment experiences, and other relevant background. I further consent to the Township performing a criminal history check and sex offender registry check with respect to the minor child and understand that any offer of employment for the minor child may be subject to these background checks. On behalf of myself and minor child, I waive any and all claims and release the Township of East Brunswick, its elected and appointed officials, representatives, officers, employees, agents, successors and assigns, from all liability arising from such investigations, background checks, criminal history checks, and sex offender registry checks.
Parent/Legal Guardian Name:
Please give both first and last name.
Signature of Parent/Legal Guardian:

Clear
Date:

MonthDayYear
Date
Should be Empty:

GENERAL EMPLOYMENT APPLICATION

EDUCATION:

REFERENCES:

EMPLOYMENT EXPERIENCE: