2024 Seasonal Employment Application - Summer Playground
Please complete this application to be consider for a position with the Pottsgrove Recreation Summer Playground Program. 2024 Summer Playground runs June 17-July 19 Monday-Thursday at Lower Pottsgrove Elementary School and Fridays at the North End Pool. There is no Playground on June 19, July 4,July 5 or on Fridays when it rains and the pool is closed. Playground Days are from 8:45-12:15 for staff and pool days are 9:45-12:15 at North End Pool. Not all staff will be needed on Pool Days so you may have Fridays off.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Date of Birth
-
Month
-
Day
Year
Please provide if under 18.
Social Security Number
Email
example@example.com
Position(s) applying for
Leader - 18+, 2 years experience
Sr. Counselor -18+, 1 year experience
Counselor - 16+
Jr. Counselor - 15+, 1 summer experience
Counselor in Training - 14+, no experience
Weeks Available to Work:
June 17 - 21, 2024 (No Playground June 19)
June 24 - 28, 2024
July 1 - 3, 2024 (No Playground July 4, 5)
July 8 - 12, 2024
July 15 - 19, 2024
Please explain any weeks/days you will not be available.
Please indicate t-shirt size
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Education Information
High School
Current Year/Graduation Year
High School City/State
College/University
Current Year/Graduation Year
College/University City/State
Concentration/Major
Post Graduate Education
Current Year/ Graduation Year
Concentration/Major
Skills & Training
Please list all applicable skills and training for applicable job. (babysitting, community service, school clubs, sports, computer skills, etc.
Employment
Company Name
Position
Supervisor's Name
Supervisor's Phone Number
Please enter a valid phone number.
Work Dates
Duties Performed
Company Name
Position
Supervisor's Name
Supervisor's Phone Number
Please enter a valid phone number.
Work Dates
Duties Performed
References
Reference Name
Reference Phone Number
Please enter a valid phone number.
Relationship
Company/School
Reference Name
Reference Phone Number
Please enter a valid phone number.
Relationship
Company/School
Emergency Contact
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Phone Number
Please enter a valid phone number.
Relationship
Allergies or Important Medical Information
Please provide any information you feel we need to know to help in the event of an emergency.
Save
Submit
Should be Empty: