SEASONAL
EMPLOYMENT APPLICATION
JOB
PREFERENCE: (CHECK)
PLAYGROUND: WATERFRONT: MAINTENANCE: OTHER:
___ Director ___
Director ___ Park
Foreman ___ Clerk/Sec.
___ Assistant Director ___
WSI
___ Recreation Aide ___ Lifeguard ___ Ballfield Laborer
Ticketbooth
___
Recreation Aide- ___ Recreation
Aide Attendent
in-Training
(A.I.T.) (weekend only)
NAME:
__________________________________________ PHONE NUMBER: ____________ __
HOME ADDRESS: _______________________________________________________________
SOCIAL
SECURITY NUMBER ______/_____/_____
DRIVER'S LICENSE #: ___________________
IF YOU
APPLIED FOR A WATERFRONT OR RECREATION AID POSITION, WHAT WILL YOUR AGE BE BY
THE START OF THE SUMMER SEASON, JUNE 1:
_______
HIGH
SCHOOL ATTENDED: _________________________
GRADUATION DATE __________
COLLEGE/TRADE
SCHOOL ATTENDED: ________________ __________________________ _
MAJOR:
_______________________________________
CURRENT YEAR___________________
WHEN ARE
YOU AVAILABLE TO START: _________________________________________ ___
HOW LONG
ARE YOU AVAILABLE TO WORK: ______________________________________ __
DO YOU
HAVE TRANSPORTATION? _________ ARE YOU WILLING/ABLE TO
WORK SOME NIGHTS & WEEKENDS OR CHANGE SHIFTS?
_________________________________ __
________________________________________________________________________________
EXPERIENCE:
LIST FORMER JOBS HELD, TITLE, DATES EMPLOYED, DUTIES:
1.
____________________________________________________________________________
___________________________________________________________________________
2.
____________________________________________________________________________
____________________________________________________________________________
3. ___________________________________________________________________________
___________________________________________________________________________
TOWN OF SULLIVAN PARKS & RECREATION DEPARTMENT
SEASONAL EMPLOYMENT APPLICATION
PAGE 2
CERTIFICATION: ARE YOU CURRENTLY CERTIFIED IN:
RED CROSS WATER SAFETY INSTRUCTOR:
________ DATE
EXPIRES ___________ _______
RED CROSS LIFEGUARD TRAINING
________________ DATE EXPIRES ______________ ____
RED C. LIFEGUARD
WATERFRONT TRAIN. DATE EXPIRES_____________ ____ _
CPR FOR THE PROFESSIONAL RESCUER _ _ DATE EXPIRES___________________
RED CROSS C.P.R. (What Type)_____________________ DATE EXPIRES _____________ __ _
OTHER: SPECIFY:
______________________________________________________________________________
___________________________________________________________________________
____
REFERENCES: LIST THREE (3) REFRENCES OTHER
THAN RELATIVES AND PAST EMPLOYERS WHO CAN ATTEST TO YOUR WORK EXPERIENCE AND
CHARACTER.
1. __________________________________________________________________________ _
2. ____________________________________________________________________________
3. __________________________________________________________________________ _
PLEASE EXPLAIN WHY YOU ARE APPLYING
FOR A POSITION WITH THIS DEPARTMENT, WHAT YOU HAVE TO OFFER, AND WHAT YOU
EXPECT TO GAIN FROM THE EXPERIENCE.
_____________________________________________________________________________ __
______________________________________________________________________________ _
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
FORMS\SEASONAL
EMPL APPL FRM