Summer Employment

Name

Address

Home Phone

Cell Phone

I am applying for the following position(s):

Waterfront Director/Supervisor

Lifeguard

Substitute Lifeguard

Concession Stand

Have you been employed by Rockaway Borough Parks & Recreation in the past?

Yes

Previous Employment

List what position(s) your have held and when

Availability – Mornings

Please mark your availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Availability – Afternoons

Please mark your availability

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Skills, Certifications, Experience

List any skills, certifications, and prior experience that qualify you for this position. If you are applying for a lifeguard position, you must have current Waterfront Lifeguard Certifications, or be able to receive certification before season opening. First Aid/CPR certifications are required of all full-time employees. Please attach copies of certifications if applicable.

Upload Certifications

Do you have certifications to upload?

yes

Upload File

You may attach up to three certificates here. Please explain in the certifications field above if you have more than three certificates.

Drop files here or

Accepted file types: pdf, jpg, png, , Max. file size: 15 MB, Max. files: 3.

Is this your first job?

If this is your first job, employment references are not required.

Yes. This is my first job.

Employment References

List your last four employers, starting with the last one.

Employment Reference 1

Start Date

End Date

Length of Employment

Employer's Name

Phone

Reason for Leaving

Do you have another employment reference?

yes

Employment Reference 2

Start Date

End Date

Length of Employment

Employer's Name

Phone

Reason for Leaving

Do you have a third employment reference?

yes

Employment Reference 3

Start Date

End Date

Length of Employment

Employer's Name

Phone

Reason for Leaving

Do you have a fourth employment reference?

yes

Employment Reference 4

Start Date

End Date

Length of Employment

Employer's Name

Phone

Reason for Leaving

Personal References

List two adult people, not related to you, whom you have known for at least one year.

Name

Phone

Relationship to You

Name

Phone

Relationship to You

Special Circumstances

List any special circumstances that might interfere with your possible employment— i.e. attending summer school, sport camps, family or personal vacations, other job, etc.

I certify that the above information is factual, that I am at least 15 years of age and if under age 18, I will furnish valid working papers. Employees over the age of 18 must submit to a background check.

Signature

Date

School

School presently attending (if applicable):

This field is for validation purposes and should be left unchanged.

Parks and Recreation Employment Application