Employment Application

BALDWIN CITY RECREATION COMMISSION

Employment Application
Date Submitted

MonthDayYear
Date
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.
Personal Information
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone:
Format: (000) 000-0000.
Email Address:
example@example.com
Are you 18 years of age or older?
Date Available to Begin Work
Position(s) Applying For
How did you learn about this position?
Education
Circle the highest grade completed
School
Location
Did you graduate?
Course of Study/Degree(s) Received (if applicable)
School
Location
Did you graduate?
Course of Study/Degree(s) Received (if applicable)
School
Location
Did you graduate?
Course of Study/Degree(s) Received (if applicable)
List or describe any school courses or experience that relate to the position in which you are applying:
Employment Record
Are you presently employed?
IF yes, why do you wish to leave?
Name of present or previous employer
Address of Employer
Phone Number or Employer
Phone Number of Employer
Job Title
Dates Employed
Reason for leaving
Ending or Present Salary
Name of previous employer
Address of Employer
Phone Number of Employer
Dates Employed
Job Title
Reason for leaving
Ending or Present Salary
Would you object to having either of the above employers contacted in regard to your work?
If no, initial for approval
If yes, please explain
Personal Reference (optional)
Name of Reference
Relation to Applicant
Telephone Number
License Information
Do you have a valid driver's license?
If yes, state of issuance
Driver's License Number
Have you ever been convicted of an offense other than a minor traffic violation?
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
Date

MonthDayYear
Date
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BALDWIN CITY RECREATION COMMISSION