SeasonalEmploymentApplication
2
EMPLOYMENTHISTORY(mostrecentfirst)
1‐EmployerName:
Address:
SupervisorName:
Phone:
JobTitle:
Dates:from to
Reasonforleaving:
Maywecontactthisagency:□Yes□No
Descriptionofduties:
2‐EmployerName:Address:
SupervisorName:
Phone:
JobTitle:
Dates:from to
Reasonforleaving:
Maywecontactthisagency:□Yes□No
Descriptionofduties:
3‐EmployerName:Address:
SupervisorName:
Phone:
JobTitle:
Dates:from to
Reasonforleaving:
Maywecontactthisagency:□Yes□No
Descriptionofduties:
AUTORIZATIONDECLARATION
DataPrivacy:Allinformationrequestedonthisapplicationwillonlybeusedtodeterminethesuitabilityoftheapplicantforthisposition.
My signature below certifies that all statementsmade on this application are true,complete and correct to the best of my knowledge. I
understand these statements are subject to verification. I understand that falsification of this application can disqualify me from
considerationormayresultindismissalupondiscovery.
IunderstandthatifIamselectedforapositionwiththeMinneapolisParkandRecreationBoardIwillbeaskedtosupplyinformationfrommy
driver'slicenseorothernecessaryinformation
inordertoallowtheMinneapolisParkandRecreationBoardtoco mplete abackgroundcheck.
Iunderstandthatmycontinuedemploymentwillbecontingentonreceivingasatisfactorybackgroundcheck.
IfurtherauthorizethereferenceswhichIhavelistedonthefollowingpagetogivetheMinneapolisParkandRecreationBoardallpertinent
information
relatingtotheirknowledgeofmeandmyabilitytosuccessfullyperformthepositionIhaveappliedfor.
Applicant’sSignature:Date:
REFERENCES(pleaselistuptothreepersons)
1‐Name:Phone:
Address:
City:State: Zip:
Relationship:
Numberofyearsknown:
2‐Name:
Phone:
Address:
City:State: Zip:
Relationship:
Numberofyearsknown:
3‐Name:
Phone:
Address:
City:State: Zip:
Relationship:
Numberofyearsknown:
RETURNAPPLICATIONTO:
MinneapolisPark&RecreationBoard|2117WestRiverRoad|Minneapolis,MN55411|Attn:departmentlistedonfront
click to sign
signature
click to edit
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