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Employment Application

  1. Our policy is to provide equal employment to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental handicap, or veteran status.
  2. Please select which jobs you are applying for:
  3. If applying for a lifeguard position, do you have your lifeguard certification?
  4. Have you previously worked for Emporia Recreation Commission divisions?
  5. Do you plan on working another job?
  6. How many hours per week would you prefer to work?
  7. Are you authorized to work in the United States on an unrestricted basis?
  8. Have you ever been convicted of a felony?
  9. Emergency Contact Information
    In case of emergency, please notify:
  10. Education
  11. Please indicate job starting and ending dates:
  12. Vacation, school activities, or other work schedules.
  13. Employment History
    Please list most recent job experience OR personal reference if no prior job experience.
  14. I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient case for dismissal. This organization is hereby authorized to make any investigations of my prior education, driving, and employment history.

    I understand that employment at this agency is "at will," which means that either I or this agency can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis.

    I hereby acknowledge that I have read and understood the above statements.
  15. Leave This Blank:

  16. This field is not part of the form submission.