Parks and Recreation Department Summer Employment Application
An Equal Opportunity Employer
Reasonable Accommodation Upon Request
INSTRUCTIONS: Save this form to your hard-drive before you begin filling it out. Do not substitute a resume
or any other type of application for this form. Label any attachments with your full name and Social Security
Positions will remain open until filled with a preferred filing date of April 17, 2009. To submit your
application, mail it to George Parish, 2100 Clarendon Blvd, Suite #414, Arlington, VA 22201; e-mail it to
email@example.com; or fax it to (703) 228-3328.
City , State Zip
Telephone Numbers: Home: / - Work: / -
Social Security Number - -
Are you 18 or older?
Are you currently employed by Arlington County Government?
If yes, please check one
Have you ever worked for Arlington County Government?
If yes, date you left:
Highest grade you completed in high school? 9th
Do you have a high school diploma?
If not, do you have a high school equivalent diploma?
College and University Information
Name, city and state of college
or university attended
Major field of
Application for (check job preference(s)): Camp Counselor( ); Lifeguard( )
(including business, trade, military, or correspondence schools)
Name, city and state of school
Type of training