Date * Month MonthApr Day Day26 Year Year2024 Full Legal Name * Preferred Name/ Nickname If you prefer to use a name other than your legal name, enter it here Pronouns * Please include which pronouns you use (what we should refer to you as) Email Address Phone Number * Physical Address * Mailing Address Please provide a mailing address if different than your physical address. Position * Which seasonal position are you applying for? Summer Park Director Summer Park Assistant Director Summer Park Counselor Are you 18 years of age or older? * Yes No Applicants under the age of 18 may need additional consent from a legal guardian. Are you currently employed? * Yes No Do any of your friends or relatives, other than spouse, work here? * Yes No Have you ever filed an application with us before? * Yes No Have you ever worked for the Town of Erving before? * Yes No May we contact your present employer? * Yes No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? * Yes No Proof of citizenship or immigration status will be required upon employment. Do you understand that the position that you are applying for is seasonal in nature and has an established end date? * Yes No Education * High School Undergraduate College Graduate/ Professional Provide information on the level of education completed College Information Provide College name, address, course of study, and years completed Graduate/ Professional School Information Provide College name, address, course of study, and years completed High School Information Provide High School name, address, course of study, and years completed Prior Work Experience * Please list your last three (3) employments. Provide the employer's name, phone number, dates of employment, position and duties conducted, and your reason for leaving. Related Volunteer Experience Please list any relevant volunteer or civic experience that has developed skills that you believe aligns with the duties of the position you are seeking. Please exclude information that may reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status. Certifications & Training Please list all current job-related certifications, trainings, and professional licenses that you possess and/or academic and professional achievement awards. Please exclude information that may reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status. Skills What other experiences, skills, or qualifications do you possess that would be applicable to the position applied for: Optional: Resume If you prefer to upload a separate resume file, you may do so hereFiles must be less than 5 MB.Allowed file types: txt rtf pdf doc docx ppt pptx xls xlsx. Emergency Contact * Please provide emergency contact information. Specifically: Full name, address, phone number, place of employment, phone number at work if different, and relationship to you. Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job for which you have applied? * Yes No Note to Applicants: Do not answer this question unless you have been informed about the requirements of the job for which you are applying. Applicant's Statement * By typing your full legal name and submitting this application, I certify the following: I certify that the answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may be not changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the employer. Leave this field blank
