SWPRD Employment Application
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Position Applying For *
 *
Required
Applicant's Full Name *
Applicant's Address (Street, Town, State, Zipcode) *
Applicant's Telephone Number *
Applicant's Email Address *
Do you meet the age requirements for the position to which you are applying? *
Do you hold a valid license for the operation of a motor vehicle in Connecticut? *
Education - Please list any and all high schools, colleges or universities, technical schools, or business schools attended. Please list any additional specialized education or Armed Forces service. Please also include addresses, highest grade level attained, and/or degree conferred for each school. *
Are you prevented from lawfully becoming employed in this country because of Visa and Immigration Status? (Proof of citizenship or immigration status will be required upon employment). *
Have you any objection to our making inquiry of your Present Employer regarding your character, qualifications, etc.? *
Have you ever been convicted of a felony and/or are you a convicted sex offender? If yes, please explain. *
Do you currently hold any of the following certifications? *
Required
Please list any other certifications you currently hold *
If selected, when will you be available for an interview? *
Have you had previous experience in a Parks & Recreation Department? If yes, please describe *
Have you had previous experience working with children, teens or adults?  Please describe your responsibilities. *
Please describe your reasons for seeking employment in the South Windsor Parks & Recreation Department *
References - Please list one Employer or previous Employer. Please include reference's name, address, phone number, email address, occupation, and relationship to applicant. *
References - Please list one reference who is not related to the applicant. Please include reference's name, address, phone number, email address, occupation, and relationship to applicant. *
References - Please list an additional reference who is not related to the applicant. Please include reference's name, address, phone number, email address, occupation, and relationship to applicant. *
Employment Record - Please list jobs in reverse order with most recent first.  If you are currently employed, start with your present position. Please include Employer's name and address, the dates of employment, annual salary, reason for leaving, and type of work performed for each job. *
APPLICANT’S STATEMENT and SIGNATURE:  I certify that answers given herein are true and complete to the best of my knowledge.  I authorized investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.  I understand that neither this document nor any offer of employment from the employer constitutes an employment contract, unless a specific document to that effect is executed by the employer and employee in writing.  In the event of employment, I agree to a criminal background check and further understand that false or misleading information given in my application or interview(s) may result in discharge. By typing my full name into the signature box below, I agree that this represents my written signature, and constitutes as agreement to all information completed within this form. *
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