QYC 2023 Sailing Program Application

Quannapowitt Yacht Club Youth Sailing Program Staff Employment Application

First Name*

Last Name*

Date of Birth*

Date

Street*

City*

State*

Zip Code*

Phone*

E-mail Address*

example@example.com

I am interested in the following position:*

Work History – Please list employer, dates worked, and a contact person for each job you’ve held in the past 5 years. You may attach a resume in lieu of filling in this space. (if attaching a resume, please write "see attached")*

Resume/Cover Letter Upload (optional)

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Certifications - Please list your relevant certifications, date conferred and expiration dates (if none, please write none):

Organization/Clubs that you belong to (if none, please write none):

Please describe your sailing experience:*

References: Please list name and contact details of at least one reference not from your immediate family. These may be past employers, teachers, guidance counselors, coaches, or any unrelated person who knows you well.*

I certify that the information on this form is correct. I understand that QYC is required by law to conduct background checks on employees including CORI and SORI checks, and I consent to such background checks. I also understand that recent health forms and current immunizations are required before the sailing program begins.

Signature*

Clear

Date

If you are under 18 years of age, your parent/guardian must fill in the following section the parent/guardian of and supportive of my child's application to be an instructor in the 2022 QYC Youth Sailing Program.

Parent/Guardian Signature

Clear

Date

Quannapowitt Yacht Club is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.