Application at Hillsboro, KS Aquatic Center

Preliminary Information

Date of Application *

Month

Day

Year

Please select all positions you are applying for *

Lifeguard

Food Service

Manager

Name (first and last)

Address

Street Address

Address Line 2

City

State

Zip Code

Country

Home Phone Number

Work Phone Number

Cell Phone Number

Email Address

More About You

How did you hear about us?

Friend

Current/Previous Employee

Other

Have you previously used any other name or names than what is listed above?

Previous Name(s) Used

Have you ever filed an application with us before?

Date of previously filed application

Month

Day

Year

Are you now or have you ever been employed by the City of Hillsboro

Location, title, department(s) and dates of previous or current position at City of Hillsboro.

Due to National Regulations the Hillsboro Family Aquatic Center requires that staff be at least 16 years old. Are you at least 16 years old?

If you are under 18 years of age can you provide required proof of eligibility to work?

Are you currently employed?

May we contact your employer?

Are you eligible for employment in the United States? (if offered employment, you must be able to provide documentation to verify eligibility)

Have you been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify an application from employment. If yes, you'll be asked to explain.)

Explanation of felony

All jobs are considered seasonal and part time (10-35 hours per week). How many hours do you wish to work this summer?

Education and Skills

Name of High School *

Address of High School

Street Address

Address Line 2

City

State

Zip Code

Country

Did you receive your diploma or the equivalent of one? *

Name of College or Technical School

Address of College or Technical School

Street Address

Address Line 2

City

State

Zip Code

Country

Did you receive your degree?

How many years or college / Technical School Have you completed?

One

Two

Three

Four

Other training or degrees (school name and degree earned)

Please list all computer software in which you are proficient

Please describe any computer skills, knowledge and experience you have acquired

Please list any other languages besides English that you can speak.

Please select the level of spoken fluency for this language (if applicable).

Please select the level of written fluency for this language (if applicable).

Please list any other academic or technical skills relevant to the position to which you are applying.

Please list any professional licenses or certifications.

Employment History

List current or last employer. Include U.S. Military Service first.

Address

Street Address

Address Line 2

City

State

Zip Code

Country

Phone number for current or last employer

Date employment started

Month

Day

Year

Date employment ended (if applicable)

Month

Day

Year

Address

Street Address

Address Line 2

City

State

Zip Code

Country

Phone number for current or last employer

Date employment started

Month

Day

Year

Date employment ended (if applicable)

Month

Day

Year

If you wish to list additional work experience, please list it here.

Additional Information

Summary of Aquatic Experience. (Note that some of this information may be the same as previous information listed. We want you to fill out both sections.)

Position (check all that apply)

Life Guard

Swim Team

American Red Cross Swim Lesson Aide

ARC Swim Lesson Instructor

Personal Skills and Experience

Personal References (please list 3)

People who can vouch for your character and work ethic. (No family members. Individuals should be at least 21 years old).

I hereby certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I understand that false or misleading information of any kind or omission of facts called for on this application is a basis for dismissal regardless of when they are discovered.

I understand also that I am required to abide by all rules and regulations of the employer. I understand that unless otherwise defined by applicable law, any employment offered is for an indefinite duration, unless otherwise specified in writing and is at will, which means that either I or the City of Hillsboro may terminate my employment at any time with or without notice or cause.

I further understand that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

Your electronic signature below indicates your agreement with the following statements

By typing my name in the following box 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.

Name (first and last) *

Attach your resume as a Microsoft Word file or PDF

Files must be less than 100 MB.
Allowed file types: pdf doc docx.

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Application at Hillsboro, KS Aquatic Center