MONTEVIDEO COMMUNITY EDUCATION-RECREATION APPLICATION FOR EMPLOYMENT Date Submitted:___________________________ Applicant Name________________________________e-mail address____________________ Home Address____________________________________Phone________________________ Work/College____________________________________Phone #_______________________ Parent/Guardian Name (For those 18 & Younger)_____________________________________ Best Time to be Contacted by phone_______________________________________________
Type of Employment Sought: (Please Check All That Apply) _______ Part-Time Seasonal _______Part-Time Year Round _______Full-Time Seasonal _______Full-Time Year Round DATE AVAILABLE TO START EMPLOYMENT:_________________________________
EMPLOYMENT OPPORTUNITIES *Please check ( √ ) the types of Community Education-Recreation activities you are seeking employment with: _____After School Enrichment Sup/Asst. _____Adult Education Instructor _____Adult Enrichment Instructor _____Adult Recreation Supervisor _____Adult Recreation Official _____Baseball Umpire _____Early Childhood Family Educ. Teacher/Aide _____Lifeguarding _____Softball Umpire _____Pre School Aide
______Recreation Facility Maintenance ______School Age Child Care ______Swim Lesson Instructor ______Swimming Pool Supervisor ______Youth Recreation Supervisor & Coach ______Youth Enrichment Instructor ______Volunteer ______Other_________________________ ___________________________
1. Please describe specific skills and qualifications you have for the activities you checked ( √ ) above: (Use additional pages if needed) _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________
2. If you are applying for Lifeguarding, Swim Lesson Instructor, or ment, please provide the following information: Current First Aid & CPR Training ______YES_____NO Current Lifeguard Training Certificate_______YES______NO Current WSI (Water Safety Instructor)_______YES______NO
School Age Care employExp. Date_____________ Exp. Date_____________ Exp. Date_____________
3. Please list the hobbies, recreation activities, and clubs or organizations you participate in: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ BACKGROUND INFORMATION A. EDUCATION: SCHOOL
DATE/FROM-TO
NAME OF SCHOOL
CITY
MAJOR
DID YOU GRADUATE HIGH SCHOOL______________________________________________________________________________ COLLEGE__________________________________________________________________________________ B. WORK EXPERIENCE: (List two most recent jobs) PLACE OF DATE NAME OF DESCRIBE PAY REASON FOR EMPLOYMENT FROM-TO SUPERVISOR WORK TERMINATION ____________________________________________________________________________________________ ____________________________________________________________________________________________ C. REFERENCES: (Please list two that we could contact) NAME ADDRESS PHONE NUMBER IF KNOWN ____________________________________________________________________________________________ ____________________________________________________________________________________________
SIGNATURE_______________________________ OFFICE USE ONLY: _____Application Reviewed _____Applicant Contacted by Phone _____Applicant Contacted by Letter _____Applicant Interviewed _____Applicant Hired
Date:_________________________ Date:_________________________ Date:_________________________ Date:_________________________ Date:_________________________ Return to:
Community Education 412 S 13th St. Montevideo, MN 56265 (320)269-5026 fax (320)269-5684
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