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Application For Employment
Cutchogue-New Suffolk Park District
PO Box 311 Cutchogue New York 11935
cnspdjvc@gmail.com
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Email
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Record my email address with my response
Full Name
*
Your answer
Mailing Address ( include city , state, zip code)
*
Your answer
Home Number
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Your answer
Cell Number
*
Your answer
Please indicate the position you are applying for:
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Lifeguard
Beach Attendant
Other
Date of Birth
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MM
/
DD
/
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Are you 18 years of Age or Older?
*
yes
No
Are you legally eligible to work in the United State?
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yes
No
Under 18 years of age, do you have working papers?
*
yes
No
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