BARKHAMSTED RECREATION DEPARTMENT                                         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


THE TOWN OF BARKHAMSTED IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER
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Name (First and last) *
Address   *
Email *
Education and Training (List High School, College and Other experience) List number of years attended. *
Home Phone number *
Cell Phone number *
Which position(s) are you interested in? *
必填
Employment and Volunteer History-Include Description of Work and Your Supervisor's Name, Phone Number and address.  (up to 3 answers) *
List your experience working or volunteering with children. *
Current Certifications. (Must not be expired)  Check off all that apply. *
必填
List two references with their contact phone and email address (must not be relatives) *
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 *
I CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE   *
必填
If selected for an interview please pick your preferred date.  (Interviews will more than likely be held on zoom or by video call) *
必填
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