Lansing Summer Rec Application Form 2025

City of Lansing - Summer 2025 Employment Application

Use this form to apply for lifeguard, pool manager, pool assistant manager, baseball head coach, baseball assistant coach, softball head coach, and softball assistant coach. If you have any questions, please contact Liz Jones, Deputy City Clerk, at deputyclerklansing52151@yahoo.com or call 563-538-4757. Applications are due by March 15. You will be contacted by the Park and Rec Board for interview.
Applicant Information
Full Name*

First NameMiddle NameLast Name
Birth Date - Must be at least 15 by June 1st, 2025*

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Position Applying For
Available Start Date

MonthDayYear
END DATE: Summer Rec season ends on Labor Day. Please inform us of the date you are not longer able to work after (i.e. - you are headed back to college) if it is not Labor Day.

MonthDayYear
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the United States?

YesNo
Have you ever worked for the City of Lansing?*

YesNo
If yes, when and in what capacity?
Have you ever been convicted of a felony?*

YesNo
If yes, please explain:

Previous Employment

Complete this section if you have had any previous employment, including with the City of Lansing.
Previous Employment 1
Company or Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name

First NameLast Name
Supervisor Email
example@example.com
Supervisor Phone Number
Please enter a valid phone number.
Job Title
Job Responsiblities
Start and end date of Employment
Start Date: MM/DD/YYY End Date: MM/DD/YYY
Starting and Ending Salary
Starting Salary: MM/DD/YYYMM/DD/YYY
Reason for Leaving
May we contact your previous supervisor for a reference?

YesNo
Previous Employment 2
Company or Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name

First NameLast Name
Supervisor Email
example@example.com
Supervisor Phone Number
Please enter a valid phone number.
Job Title
Job Responsiblities
Start and end date of Employment
Start Date: MM/DD/YYY End Date: MM/DD/YYY
Starting and Ending Salary
Starting Salary: MM/DD/YYYMM/DD/YYY
Reason for Leaving
May we contact your previous supervisor for a reference?

YesNo

Additional Employment Screening
Please Acknowledge the Following:

All applicants 18 years of age or older who have not been previously employed by the City of Lansing are subject to a background check and drug test as a condition of employment with the City of Lansing.
I acknoweldge that I have read and understand the statement above.*

I have read and understand the above statment.

Lifeguard Acknowledgment Statement
*For Lifeguard Applicants Only*

Please acknowledge the following:

All lifeguard hires are responsible for pruchasing their own swinsuit.

All lifegaurd employees must become certified as a lifeguard. There is a $200 refundable fee for the certifcation class. Refunds are based on 2 years of service at the pool and certification is valid for 2 years.
Please select one of the following:*

I am applying to be a lifeguard and I have read and understand the above statement.I am not applying to be a lifeguard

Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview my result in my release.
Signature

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City of Lansing - Summer 2025 Employment Application