Application for Employment

QUEENSBURY DEPARTMENT OF PARKS AND RECREATION
742 BAY ROAD, QUEENSBURY, NY 12804
(518) 761-8216 ~ fax (518) 798-3194
recreation.queensbury.net 

Download PDF Employment Application


Online Employment Application

Queensbury Parks & Rec

Queensbury Department of Parks & Recreation
742 Bay Road, Queensbury, NY 12804
(518) 761-8216 ~ fax (518) 798-3194


PERSONAL INFORMATION

*Required
*POSITION FOR WHICH YOU ARE APPLYING:
*SEASON:

*TYPE OF POSITION:
*FULL NAME:

*ADDRESS:
CITY/TOWN:

STATE:
ZIP:

*PHONE:
*EMAIL:


*ARE YOU UNDER 18 YEARS OF AGE?:
IF YES, DO YOU HAVE A CURRENT WORKING CARD?:


Last year of school completed:
School Name:

School City:
Degree Earned:


Do you hold current First Aid certification?:
Expiration Date:

Do you hold current CPR certification?:
Expiration Date:

Do you hold current AED certification?:
Expiration Date:

Do you hold current Lifeguard certification?:
Expiration Date:

Do you hold current WSI certification?:
Expiration Date:

If you accept this position do you have a current valid driverís license and access to a vehicle?:
Are you legally eligible to accept employment in the United States?:


What areas or activities do you feel you are qualified to instruct or lead?:
Why would you like to work for the Queensbury Parks and Recreation Department?:

List your favorite hobbies:
Date available to start work?:


EMPLOYMENT HISTORY

Queensbury Parks & Recreation Department Experience: (Paid Positions)

Year:
Position:

Year:
Position:

Year:
Position:

Year:
Position:

Other Paid Positions:

Name of Employer:
Address (Street & City):

Dates:
Type of Work:

Name of Employer:
Address (Street & City):

Dates:
Type of Work:


Volunteer Positions: (For which you recieved no payment)

Name of Employer:
Supervisor's Name:

Dates:
Type of Work:

Name of Employer:
Supervisor's Name:

Dates:
Type of Work:

References: (other than family) *if applying for Q-Club, this is a mandatory section

Name:
Address (Street & City):

Occupation:
Phone:

Name:
Address (Street & City):

Occupation:
Phone:

Name:
Address (Street & City):

Occupation:
Phone:

Do you have any objection to our contacting prior employees or the other references you noted in this application?:


Is there any additional information that you feel would be helpful in the consideration of your application?:

I affirm that, the information I've given on this application is correct and complete and I understand that the employer will rely on this information in making its descision to hire.

*Signature of Applicant:
*Date:

The Town of Queensbury, Department of Parks & Recreation is an equal opportunity employer

*Passcode:
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