TOWN OF BOSTON RECREATION EMPLOYMENT APPLICATION

Name ________________________________________Social Security #________________________

Street Address________________________________________Town_____________________Zip_________

Phone_______________ Date of Birth_______________ Age__________(minimum age 16)

Are you a Town of Boston Resident?     YES     NO

EDUCATION

High School   ___________________________Major_________ Degree_________ Grad Yr_____

College   ______________________________ Major_________ Degree_________ Grad Yr_____

Other     ____________________________       Major_________ Degree_________ Grad Yr_____

Circle the POSITIONS for which you are applying:

  Day Camp Counselor        Friday Rec Counselor       Lifeguard

  Camp Site Supervisor       Friday Rec Supervisor       Arts & Crafts Director

Circle Current Certifications:

  First Aid           CPR           EMT              Lifeguard                 Other (list on back)

List all your SKILLS, SPORTS EXPERIENCE, TRAINING, TALENTS AND INTERESTS:

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

List ORGANIZATIONS and CLUBS to which you belong, ACHIEVEMENTS, AWARDS & offices held:   

____________________________________________________________________________________________________________________________________________________________________________________

EXPERIENCE (paid employment and volunteer work):

    Position                                                     Organization                                                          Dates 

_____________________________   ____________________________________  ________________

_____________________________   ____________________________________  ________________

_____________________________   ____________________________________  ________________

On the back, please list three (3) references. Also use the back to list further information concerning your certifications, skills, training, experience and anything else you would like us to know about you.

College students: provide the date when you are available _______________________

To the best of my knowledge, the above information is true.

________________________________________________

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