Mt Lebanon Extended Day Employment Application

Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Highest level of education completed

College Major (if applicable):

Please submit a copy of your resume here. You may also upload your clearances and two letters of reference.

Are you interested in the Summer Fun Program ONLY or School-Year and Summer employment?

What hours are you available to work? Check all that apply.

Please list your last employer.

First-Aid /CPR certification (this is not a requirement and won't affect your application.)

Lifeguard certification (this is not a requirement and won't affect your application.)

Have you lived out of state in the past 5 years?

By submitting, I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am
employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts
set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.

I acknowledge and understand that MLEDP is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category
employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with
or without notice to the other party.

MLEDP is an Equal Opportunity Employer.

Mt Lebanon Extended Day Program Employment Application