Town of Carlisle
Recreation Department
66 Westford St. Carlisle MA 01741 Phone: 978-369-9815 Fax: 978-371-6686 E-Mail: hmansfield@carlislema.gov
JOB APPLICATION SUMMER 2019
(In order to qualify for employment you must be at least 14 years of age and have working papers)
Name_________________________________________ E-Mail _______________________________________
Address__________________________________________ Town _______________________zip ___________
Home#___________________Cell#_____________________ DOB__________ SS #______________________
Emergency Contact: ________________________________________ Phone____________________________
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Carlisle Summer Fun Program will operate for 6 weeks from:
June 24 through August 2, 2019 from 9:00am to 3:00pm at the Carlisle Public School
Mandatory Set Up Day: Friday, June 21. Additional days may be added as needed. All set up days are
Paid days.
Mandatory participation in CPR/First Aid Program Date TBD (If you are not already certified)
Will you be available to attend 1) June 21-Set Up Day? _____ 2) June TBD-CPR Class? _______
If NO, please state reason:
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Have you been previously employed by the Town of Carlisle? ____________________________________
o In what capacity? _________________________________________________________________
Circle the Sessions available to work: You must be available to work a complete week
Week 1: June 24-28 Week 2: July 1-3 (3 Days) Week 3: July 8-12
Week 4: July 15-19 Week 5: July 22-26 Week 6: July 29-August 2
Additional weeks available to Substitute please circle.
June 24 July 1 July 8 July 15 July 23 July 29
Are you available to work before camp? (Early Drop Off: 8:15 to 9:00 am) Yes No
Have you taken First Aid and CPR Training? _______________ Date:_____________________________
o Is certificate current? ______________ Please attach all current certificates with application.
(Recreation will offer First Aid, CPR and CPR refresher classes date TBD. This is mandatory for all employees if classes have
not been taken within the past 12 months.)
Are you willing to perform Community Service for all or part of the time? Yes _________ No __________
Number of hours: __________
Work and/or Volunteer Experience?
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What special skills do you have? (include CIT, WSA, WSI, leadership, coaching experience,
certification, babysitting, horse riding, sports, hobbies, etc.)
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Why would you like a summer job with the Carlisle Recreation Program?
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Program Leaders
Recreation is always looking for individuals with special interests or skills who are interested in leading
or coaching a particular activity. Please indicate your ideas. (For example: Orienteering, Arts & Crafts,
Basketball, Soccer, Tennis, etc.) List the areas of interest to you below.
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References
Name_______________________________________________Phone___________________________________
Name_______________________________________________Phone___________________________________
Name_______________________________________________Phone___________________________________
Additionally, the State of Massachusetts requires that all employees be CORI checked.
Apply before March 31, 2019 for the best opportunities. Late applications will be considered for
substitutes and any new positions. You will be contacted in May regarding employment.
If you have any questions, please call: 978-369-9815.
Please send a copy of any certifications you have, along with this application.
Mail completed application to: Carlisle Recreation, 66 Westford Street, Carlisle, MA 01741
Signature___________________________________________________ Date___________________
Thank you for your interest in working with the Carlisle Recreation Program.
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