Three Chopt Recreation Club Application for 2023 Employment

This application does NOT guarantee employment.

Sign in to Google to save your progress. Learn more
Email *
Please write your full name *
What is your date of birth? *
MM
/
DD
/
YYYY

Are you over the age of 18?  
If under 14 or 15, you must obtain a work certificate from: http://www.doli.virginia.gov/laborlaw/laborlaw_forms_p2.html prior to starting work.

*
If under 18, please write down the name, email address, and phone number for a parent.
Please write your cell phone number *
What is your email? *
Please write your current mailing address including street, city, state, zip *
How were you referred to Three Chopt Recreation Club? *
Please provide the name and phone number of an adult, preferably a TCRC member, other than a parent, who can be contacted for a personal reference.
*
Which position(s) are you applying for consideration for the 2023 season? *
Required
If you are applying for Assistant Manager, Lifeguard, or Swim Guard; are you currently certified as a lifeguard?  If so, through what organization (red cross, etc.) and when does it expire?  If you are not certified, what are your plans for certification?  *
Are you a member of the Swim and or Dive team at Three Chopt? *
If hired, you must be available to work May 13th through September 10, 2023 other than one week of scheduled vacation.  If you have other commitments such as camp, school, church or other jobs that will interfere with regular shifts, provide a detailed explanation including dates and times.  Please note that this is for application purposes only.  All vacations and unavailable time MUST be inputted in your scheduling app once employed in order for you not to be scheduled during those times.  
If hired, on what date can you start working? 
*
MM
/
DD
/
YYYY

If hired, on what date must you stop working?   

*
MM
/
DD
/
YYYY
If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? 
*
If hired, are you willing to submit to and pass a controlled substance test? 
*
Have you ever been convicted of a criminal offense (felony or misdemeanor)? 
*

If YES, please state the nature of the crime(s), when and where convicted and the disposition of the case(s).  If NO, please just write "N/A"

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. All employees are subject to background checks including, but not limited to, the Virginia Sex Offenders Registry.)
What High School or College do/did you attend? *
Number of years completed (if you are currently enrolled in high school, please write down the grade you are currently in If in College write what year you are currently in.).  
*
Do you certify the accuracy of this application on the date submitted.  (please write your name, today's date and to indicate that you agree with the words" I agree." ) *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Three Chopt Recreation Club. Report Abuse