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Camillus Parks & Recreation Department
Application for Employment
It is recommended that you first scroll through this application and identify/understand our information requests. (additionally you could print the document and return later)
We do NOT provide the capability to SAVE the application and complete later.
Position Applying For
*
Please select
Lifeguard
Shove Park Attendant
General Employment
Select from the available positions.
Date available
*
MM
/
DD
/
YYYY
Please provide your first available date, if immediate then choose todays date.
Personal Information
...........................................................................................................................
Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
*
###
-
###
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####
Email
Birth Date
MM
/
DD
/
YYYY
This information is used to determine minimum age for equipment operation
Gender
*
Female
Male
not given
Education and Certifications
...........................................................................................................................
College/HighSchool Name
*
Graduation Date
*
MM
/
DD
/
YYYY
If the actual date of graduation is NOT known OR is in the FUTURE, choose June 15th of the YEAR of graduation/anticipated graduation.
Certifications
First Aid Certification
Life Guard Training
CPR
Water Front Module
Water Safety Instructor
Check any of the following you have completed and hold a CURRENT certification.
Certification expiration dates will be verified if interviewed.
Additional Certification(s). If applying for Ice Arena,
please indicate here if you
can skate.
Employment Information
Pease provide previous employment, references and relevant experience
...........................................................................................................................
Previous Employment?
*
YES, I have been employed by this department
NO, I have not been employed by this department
Never held any type of employment
Relatives employed by Town of Camillus
If you have never help any type of employment, simply skip the Previous Employer section.
If you have any relatives currently or previously employed by the Town of Camillus, please list names.
References
Please provide up to three (3) references
First Reference Name
*
First
Last
First Contact info
*
Please provide a Phone, Email, or Address
Second Reference Name
*
First
Last
Second Contact info
*
Please provide a Phone, Email, or Address
Experience
Describe any previous employment experience that qualifies you for the position applying for.
Employer Name
Type of Business
Your Title and Duties
Reason for leaving
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
estimated dates are acceptable
Employer Name
Type of Business
Your Title and Duties
Reason for leaving
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
estimated dates are acceptable
Leadership
List any specific experience or honors received working with the Public or while in School or on the Job
Activities
List any specific activities you have conducted or possess the ability to conduct
Other
List any other relevant information you wish to provide
Attach your resume:
If you have a resume and would like to attach it to this application
Certification
*
I confirm
I hereby certify that all statements made and information provided in connection with this application for employment are true and I authorize the Town of Camillus Parks and Recreation Department to obtain personal information about me.
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