Job Application

Today's Date (required)

Please indicate the position type(s) you're applying for (required)

Full Time

Part time/Seasonal

If applying for more than one position do you have a preference? (required)

Yes

If so, please rank the top 3 positions for which you would apply

How did you find out about this position

Social Media

Newspaper/Radio

Referral from employee

Are you 18 years or older? (required)

Have you ever been convicted of a felony? (required)

Yes

General Information

Name (required)

Address (required)

Cell Phone (required)

Email (required)

Have you worked for us before? (required)

If YES, what position(s) did you hold?

If YES, please list your approximate dates of employment (ex. June 2015 to July 2016)

If hired, when could you start? (required)

Are you available during weekends? (required)

Do you have a valid driver's license? (required)

What is your class of driver's license? (required)

Educational Experience 1

Name of School, City, State (required)

Course of Study (required)

Degree & Date of Graduation (required)

Educational Experience 2

Name of School, City, State (required)

Course of Study (required)

Degree & Date of Graduation (required)

Work Experience 1

Company (required)

Approximate dates of employment (required)

Supervisor (required)

Phone number (required)

May we contact (required)

Reason for leaving (required)

Briefly describe work performed (required)

Work Experience 2

Company

Approximate dates of employment

Supervisor

Phone number

May we contact?

What was your reason for leaving?

Briefly describe work performed

Equipment/Machines Operated

Please list the equipment/machines you are familiar with operating

Other Experience/Training , Licenses/Certificates

List any special qualifications relevant to the position for which you are applying and are not covered elsewhere in your application (such as technical skills and/or computer, childcare training, CPR, First Aid, WSI, Lifeguard Certification etc.) For licenses and certificates, you must include date and place of issuance, date of expiration, and be able to present a copy of certification if hired.

References (Persons who can speak of your job/professional qualifications)

Reference 1

Name (required)

Phone Number (required)

What is your relationship with this person? (required)

Address (required)

Reference 2

Name (required)

Phone number (required)

What is your relationship with this person? (required)

Address

Consent

I CERTIFY THAT ALL FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND AND AGREE THAT ANY MISSTATEMENT WILL BE GROUNDS FOR DISQUALIFICATION OR DISMISSAL FROM EMPLOYMENT BY THE DEVILS LAKE PARK DISTRICT. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE. IF JOB OFFER, I AUTHORIZE FURTHER INVESTIGATION TO INCLUDE A BACKGROUND CHECK INTO FELONY CONVICTIONS AND CHILD NEGLECT OR ABUSE AND RELEASE THE DEVILS LAKE PARK DISTRICT OF ANY LIABILITY AND ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION. I UNDERSTAND BY PROVIDING INFORMATION ON THIS APPLICATION THAT THERE IS NO CONTRACTUAL OR IMPLIED AGREEMENT BETWEEN MYSELF AND THE DEVILS LAKE PARK DISTRICT. (required)

Agree

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