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Employment Application
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Steps
1.
Step One
This section is complete
This section is incomplete
2.
Step Two
This section is complete
This section is incomplete
Step One
Name 1
Name
Email Address
Address
City
State
Zip Code
Phone Number
Position Desired:
*
-- Select One --
Any
Cashier
Clerical
Certified Wading Pool Attendant
Counselor
Desk Staff
Gate Attendant
Launch Operator
Lifeguard
Night Manager
Park Attendant
Pool Attendant
Recreation Center Attendant
Sailing Instructor
Security
Show Crew
Skate Rental Attendant
Skate Guard
Skate Sharpener
Stage Crew
Tennis Camp Counselor
Other
Availability:
*
Start date - End date
Certifications:
Are you a citizen of the United States?
*
Yes
No
If no, are you authorized to work in the United States?
Yes
No
Are you a resident of the Great Neck Park District?
*
Yes
No
Have you ever worked for the Park District?
*
Yes
No
If so, when?
Are you related to any current or former employee(s) of the Park District?
Yes
No
If so, name of employee(s):
Relationship:
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain:
Continue
Step Two
Education
High School:
*
City/State:
From:
To:
Did you graduate?
Yes
No
College/Other:
City/State:
From:
To:
Did you graduate?
Yes
No
Degree:
References
Please list three professional references.
Full Name:
Relationship:
Company:
Phone:
City/State:
Full Name:
Relationship:
Company:
Phone:
City/State:
Full Name:
Relationship:
Company:
Phone:
City/State:
Company:
Job Title:
City/State
Supervisor:
Phone:
Salary:
Responsibilities:
Reason for leaving:
May we contact your previous supervisor for references?
Yes
No
Company:
Job Title:
City/State:
Supervisor:
Phone:
Salary:
Responsibilities:
Reason for leaving:
May we contact your previous supervisor for references?
Yes
No
List any special qualifications, experience and/or training you possess that would be useful in the performance of the job you seek.
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand withholding pertinent information or submitting false or misleading information on this application, my resume, during interviews or at any other time during the hiring process constitutes valid grounds for disqualification from further consideration for hire or immediate dismissal from employment and loss of employee benefits and privileges. I further understand and agree that the employer shall not be liable in any respect if my employment is denied or terminated.
*
I understand
I do not understand
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