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BARKHAMSTED RECREATION DEPARTMENT Employment Application-Summer 2022 67 Ripley Hill Road- Pleasant Valley, CT 06063-0558 (860) 738-4695-Phone, (860) 379-6262 - Fax, Barkhamstedrec@barkhamsted.us-email
Barkkhamsted Recreation Department-Employment Application-Summer 2022
THE TOWN OF BARKHAMSTED IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER
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Name (First and last)
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Your answer
Address
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Your answer
Email
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Your answer
Education and Training (List High School, College and Other experience) List number of years attended.
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Your answer
Home Phone number
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Your answer
Cell Phone number
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Your answer
Which position(s) are you interested in?
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Counselor (Must be 16 years old and above)
Jr. Counselor (Must be 14 year old and above)
Camp Leadership (Director, Assistant Director, Arts and Crafts Specialist)
Required
Employment and Volunteer History-Include Description of Work and Your Supervisor's Name, Phone Number and address. (up to 3 answers)
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Your answer
List your experience working or volunteering with children.
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Your answer
Current Certifications. (Must not be expired) Check off all that apply.
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CPR
FIRST AID
LGT (Lifeguard training)
American Red Cross Babysitting Training
Other:
Required
List two references with their contact phone and email address (must not be relatives)
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Your answer
Note to Applicants: Do not answer this question unless you have been informed about the requirements of the job for which you are applying. Can you perform the essential functions of the job, for which you are applying, either with or without a reasonable accommodation? ____ Yes ____ No
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Yes
NO
I CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE
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Yes
No
Required
If selected for an interview please pick your preferred date. (Interviews will more than likely be held on zoom or by video call)
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Thursday, April 15 (between 4-7 p.m.)
Friday, April 22
Saturday, April 23
Other day, time (arranged with Donna-Barkhamsted Recreation Director
Required
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