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Seasonal Job Application - Park Attendant II (Public Safety)

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Steps

1. Summer Employment Application - Park Attendant II(Public Safety) This section is complete This section is incomplete
2. Education This section is complete This section is incomplete
3. Employment History This section is complete This section is incomplete
4. Disclaimer & Signature This section is complete This section is incomplete

Summer Employment Application - Park Attendant II(Public Safety)

First Name*
Middle Name
Last Name*
Address1*
Address2
City*
State*
Zip*
Home Phone Number*
Email Address*
Cell Phone Number*
Dates available to work: Start Month/Day to End Month/Day *
ARE YOU A RESIDENT OF THE TOWN OF SMITHTOWN? *
WILL YOU BE 18 YEARS OLD BY MAY 1ST? *
HAVE YOU PREVIOUSLY WORKED FOR THE TOWN OF SMITHTOWN? *
IF YES, PLEASE EXPLAIN:
SHIFTS YOU ARE AVAILABLE TO WORK:(Check all that apply:)*
1. 8am-4pm
2. 9am-5pm
3. 11am-7pm
1. 4pm-12am
2. 12am-8am
Continue

Education

LIST THE HIGHEST HIGH SCHOOL GRADE LEVEL COMPLETED:
1. 9TH
2. 10TH
1. 11TH
2. 12TH
ENTER NAME OF HIGH SCHOOL:
IF YOU ARE A HIGH SCHOOL GRADUATE, ENTER NAME OF SCHOOL AND DATE OF GRADUATION:
IF YOU ARE IN COLLEGE,CHOOSE THE HIGHEST COLLEGE LEVEL COMPLETED:
ENTER NAME OF SCHOOL & MAJOR:
Continue |Go Back

Employment History

(From Most Recent)
Please feel free to include any volunteer services
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Employment Dates:
Reason for Leaving
Company
Position
Supervisor
Phone Number
May we contact your previous supervisor for a reference?
1. Yes
1. No
Address
Responsibilities
Employment Dates:
Reason for Leaving
Continue |Go Back

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment.

Your electronic signature below indicates your agreement with the following statement: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Applicant Signature*

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
Submit Submit and Print | Go Back

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