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Student Recreational Assistant
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Steps
1.
Step One
This section is complete
This section is incomplete
2.
Step Two
This section is complete
This section is incomplete
3.
EMPLOYMENT AND TRAINING:
This section is complete
This section is incomplete
4.
REFERENCES:
This section is complete
This section is incomplete
5.
ACKNOWLEDGEMENTS:
This section is complete
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Step One
STUDENT RECREATIONAL ASSISTANT APPLICATION FOR EMPLOYMENT
City of Anacortes
P.O. Box 547, 904 6th Street, Anacortes, WA 98221 (360) 299-1970 | FAX (360) 299-1982 | www.anacorteswa.gov
The City of Anacortes is an equal opportunity employer. All applicants will be considered regardless of race, color, national origin, creed, religion, sex, age (over 40), pregnancy, marital status, physical or mental disability, genetic information, gender identification, sexual orientation, gender identity or status as an honorably discharged veteran, or any other class protected by federal, state, or local law. Equal access to the hiring process, services, and employment is available to all persons. Applicants requiring accommodations to the application and/or interview process should contact a representative of the Human Resource Department.
Instructions:
Please type or print clearly in ink. Each question should be answered completely and accurately. A completed City of Anacortes application is required in order to be considered for employment. Please answer each question completely; unsigned or incomplete applications will not be considered. Verification of eligibility to work in the U.S. will be required if an employment offer is made.
GENERAL INFORMATION:
First Name
*
Middle Initial
Last Name
*
Please list any other name(s):
E-Mail Address:
*
Address:
*
City:
*
State:
*
Zip:
*
Phone Number:
Cell Phone Number:
Continue
Step Two
Have you been employed here before?
-- Select One --
Yes
No
If yes, give date:
If yes, give date:
Are any of your relatives presently employed with the City of Anacortes?
-- Select One --
Yes
No
If yes, please provide names of relatives, their positions, and departments:
Do you have any commitments or other conflicts that would affect your promptness and/or regular attendance for this position?
-- Select One --
Yes
No
If yes, explain:
Have you ever been discharged or requested or forced to resign from any position because of misconduct or unsatisfactory service?
-- Select One --
Yes
No
If yes, explain:
Date available for work:
Date available for work:
EDUCATION AND TRAINING:
School Name and Location
Major Course of Study/Degree Received
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EMPLOYMENT AND TRAINING:
Starting with your current or most recent employer, please list your employment history, including any voluntary service assignments.
Present/Last Employer:
May we contact?
-- Select One --
Yes
No
Title/Position:
Date Started:
Date Started:
Date Ended:
Date Ended:
Address:
Hours per week:
Name & Title of Supervisor:
Supervisor Phone Number:
Specific Duties:
Reason for leaving:
JOB RELATED QUALIFICATIONS:
List any additional skills, abilities, volunteer activities, awards, trade, business, civic associations or any offices held or other experiences not included above that you feel are relevant to the job for which you are applying:
List any additional information which may more fully describe your qualifications and capabilities::
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REFERENCES:
Please list two references that have knowledge of your character and abilities, in addition to the supervisors listed in the Employment History Section. Do not list relatives.
Reference #1
Name:
Job Title:
Employer:
Relationship:
Address:
Phone Number:
E-mail Address
Years Known:
Reference #2
Name:
Job Title:
Employer:
Relationship:
Address:
Phone Number:
E-mail Address:
Years Known:
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ACKNOWLEDGEMENTS:
Accuracy of Information. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for employment, or for termination if employed.
Information Release. I authorize the City of Anacortes to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, qualifications, driving record, and other job-related information. I give my full consent for all contacted persons, including former employers, to provide the information concerning this application. Further, I waive my right to bring a claim against these individuals for any damages arising from furnishing the requested information to the City of Anacortes. I also release the City of Anacortes from all liability that might result from checking such references.
Application Status. I understand that this application is current for only 60 days. At the conclusion of this time, if I have not heard from the City of Anacortes and still wish to be considered for employment, it will be necessary to fill out a new application.
In the event of my employment with the City of Anacortes, I will comply with all rules, regulations, and policies set forth in the City’s Personnel Policies or the communications distributed by the City. I also understand that the City has the right to modify its policies without giving me any advance notice of the changes.
AT-WILL EMPLOYMENT. I UNDERSTAND THAT IF I AM HIRED, MY EMPLOYMENT AT THE CITY OF ANACORTES IS “AT-WILL” AND MAY BE TERMINATED BY ME OR BY THE CITY OF ANACORTES AT ANY TIME FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. I UNDERSTAND THAT NO EMPLOYMENT OFFER IS BEING MADE BY THE CITY OF ANACORTES AT THIS TIME. I ALSO UNDERSTAND THAT NOTHING IN THIS APPLICATION IS INTENDED TO IMPLY OR CREATE AN EMPLOYMENT CONTRACT AND THAT NO CITY OF ANACORTES REPRESENTATIVE HAS THE AUTHORITY TO MAKE ANY ASSURANCE TO THE CONTRARY.
I am providing the electronic equivalent of my signature and assert that I have read, understood and agree that the information in this employment application is true and correct to the best of my knowledge.
Name:
Date:
Date:
Authorization to Past Employer, School, or Other Institution to Release Information
I have applied for employment with the City of Anacortes. As part of the application process the City of Anacortes conducts a reference check. I therefore authorize and request that you furnish relevant, job-related information to the City of Anacortes and/or its agents in connection with this application. I release from liability and I agree not to assert any claims or causes of action against all persons, corporations, and organizations supplying this information to the City of Anacortes and/or its agents. A photocopy of this authorization is as effective as the original.
I am providing the electronic equivalent of my signature and assert that I have read, understood and agree that the information in this employment application is true and correct to the best of my knowledge.
Name:
Date:
Date:
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