APPLICATION FOR EMPLOYMENT
WELLINGTON RECREATION COMMISSION
Employment Desired
Today’s Date
Full Name
(As it appears on your Social Security card)
Social Security Number
-
-
Date of Birth ____-______- ______
Present Address
_________City
Zip
Permanent Address
_________City
Zip
Daytime Phone
Evening Phone
Have you worked for the WRC before?
When
If hired, what date will you be available to work?
Have you ever been convicted of a felony?
Do you have any physical handicaps, which would prevent you from performing specific kinds of work?
If so, please describe:
EDUCATION
DATES ATTENDED
DEGREE/DIPLOMA
High School
College
Major
Vocational or Other School
Dates
Degree/Diploma
Major
OFFICIALS
Are you certified?
List sport and number of years certified.
1)
2)
3)
4)
PERSONAL REFERENCES
Please list three (3) references (someone who has known you for at least 3 years-not family related) and give
name, address and phone numbers.
1.
2.
3.
EMPLOYMENT HISTORY (START WITH LAST OR PRESENT EMPLOYER)
DATES
EMPLOYER
ADDRESS
PHONE
Describe the work you performed.
DATES
EMPLOYER
ADDRESS
PHONE
Describe the work you performed.
DATES
EMPLOYER
ADDRESS
PHONE
Describe the work you performed.
May we contact the employers listed?
If not, indicate which one(s) you do not wish us to
contact. ___________________________________________________________________________________
List any other relevant information regarding position.