Job Application: Recreation Assistant

Title: Recreation Assistant

Fields marked with an asterisk (*) must be filled out before submitting.

PERSONAL INFORMATION

First Name *
Middle Name
Last Name
Street Address *
City *
State *
Zip Code *
Home Phone
Cell Phone
E-mail Address *
 
Have you ever filed an application with us before? *
If you are under 18 years of age, can you provide required proof of your eligibiltiy to work? *
Have you ever been employed with us before? *
Do any of your friends or relatives work here?
Are you currently employed?
May we contact your present employer?
Are you legally eligible for employment?
Date available for work
Type of employment desired? Full-Time
Part-Time
Temporary
Seasonal
Internship
Can you travel if a job requires it?

EDUCATION HISTORY

High School

High School Name
High School Address
High School Diploma/Degree? *

Undergraduate College

Undergraduate College Name
Undergraduate College Address
Undergraduate College Course of Study
Undergraduate College Number of Years Completed
Undergraduate College Diploma/Degree? *

Graduate/Professional School

Graduate/Professional School Name
Graduate/Professional School Address
Graduate/Professional School Course of Study
Graduate/Professional School Number of Years Completed
Graduate/Professional School Diploma/Degree? *
 

WORK EXPERIENCE

Provide the following information for your past four (4) employers, assignments or volunteer activities, starting with the most recent.

Employer 1

Employer Name
Employer Address
Employer Telephone Number
Starting/Present Job Title
Start Date
End Date
Reason for Leaving?
Hourly Rate/Salary
Work Performed
Immediate Supervisor Name & Title
May We Contact Employer?

Employer 2

Employer Name
Employer Address
Employer Telephone Number
Starting/Present Job Title
Start Date
End Date
Reason for Leaving?
Hourly Rate/Salary
Work Performed
Immediate Supervisor Name & Title
May We Contact Employer?

Employer 3

Employer Name
Employer Address
Employer Telephone Number
Starting/Present Job Title
Start Date
End Date
Reason for Leaving?
Hourly Rate/Salary
Work Performed
Immediate Supervisor Name & Title
May We Contact Employer?

Employer 4

Employer Name
Employer Address
Employer Telephone Number
Starting/Present Job Title
Start Date
End Date
Reason for Leaving?
Hourly Rate/Salary
Work Performed
Immediate Supervisor Name & Title
May We Contact Employer?
 
Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the positions for which you are applying:
Skills and Qualifications
 

REFERENCES

Do not include family members or past supervisors.
Reference #1 Name *
Reference #1 Phone Number *
Reference #1 Relationship/Position *
Reference #2 Name *
Reference #2 Phone Number *
Reference #2 Relationship/Position *
Reference #3 Name *
Reference #3 Phone Number *
Reference #3 Relationship/Position *

Resume

Resume Upload *
 

Application Certification

I certify that all the information submitted by me on this application is true and complete, and I understand that if any false or misleading information, omissions or misrepresentations are discovered, my application may be rejected, and if I am employed,my employment may be terminated at any time.
If hired, I agree to conform to the Township of Springfield rules and regulations, and I understand that these rules and/or the employee handbook do not form a contract of employment either express or implied, and I agree that my employment and compensation can be terminated, with or without cause and with or without notice, at any time, at either my or the Township of Springfield’s option.
I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the Township of Springfield. I understand that no Township of Springfield representative, other than its Administrator and Clerk, and then only when in writing and signed by the Mayor, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, résumé or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives for seeking, gathering and using truthful and nondefamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.
I also understand that, if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States as required by federal immigration laws.
The Township of Springfield does not tolerate unlawful discrimination or harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state or local law. No question on this application is used to limit or exclude an applicant from employment consideration on any basis prohibited by applicable federal, state or local law.
* I certify that I have read, fully understand and accept all the terms of the foregoing Applicant Statement.