Seasonal Employment Application

BALDWIN CITY RECREATION COMMISSION

Seasonal Employment Application
TO APPLICANT: We appreciate your interest in our organization and assure you that we are interested in your qualifications. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, disability or handicap.
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone:
Please enter a valid phone number.
Cell Phone:
Email Address:
example@example.com
Are you 18 years of age or older?

Yes No
Date Available to Begin Work
Position(s) Applying For
How did you learn about this position?
Education: Circle the highest grade completed

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
School
Course of Study/Degree(s) Received
Did you Graduate?
Course of Study/Degree(s) Received: List or describe any school courses or experience that relate to the position in which you are applying:
Employment Record
Are you presently employed?

Yes No
IF Yes, why do you wish to leave?
Please list your previous employer
Address of Employer
Phone Number or Employer
Job Title
Dates Employed
Reason for leaving
Ending or Present Salary
May we contact this employer for reference?
Would you object to having any of the above employers contacted in regard to your work?

Yes No
If yes, please explain
License Information
Do you have a valid driver's license?

Yes No
If yes, state of issuance
Driver's License Number
Have you ever been convicted of an offense other than a minor traffic violation?

Yes No
IF yes please explain
COMMENTS:
State below why you believe you are qualified to perform the kind of work in which you are applying:
I hereby certify that the information given in this application is true and correct. I understand that BCRC may research all statements and claims made on this application and make reference checks. If research shows that false information was willingly given by me, it shall be considered sufficient cause for rejection or dismissal.
Signature

Clear
Date

Month Day Year
Date
Should be Empty:

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BALDWIN CITY RECREATION COMMISSION