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2. 
3. SPLASHDAYZ 2023 SEASON APPLICATION
5. First Name*
6. Last Name*
8. Middle Initial
9. Preferred name or nickname
11. Address*
13. City*
14. State*
15. Zip Code*
17. Main Phone Number*
18. Secondary Contact Number
20. Email Address*
21. Do you have dependable transportation?*

    1. Yes
    2. No
23. Do you speak any languages other than English?*

    1. Yes
    2. No
24. If yes, what language(s)?
26. How fluent are you in this other language?

    1. Fair
    2. Good
    3. Excellent
27. Do you have the legal right to work in the United States?*

    1. Yes
    2. No
29. What position are you applying for?*

    1. Lifeguard
    2. Front Gate
    3. Food & Beverage

    1. Facility Services
    2. Cash Control
31. What position would be your second choice?*

    1. Lifeguard
    2. Front Gate
    3. Food & Beverage

    1. Facility Services
    2. Cash Control
33. Are you able to perform the essential functions and responsibilities of the position for which you are applying with or without reasonable accommodation?*

    1. Yes
    2. No
35. Please list any known conflicts with your ability to work between the hours of 11:00AM to 8:00PM between May 26, 2023 through September 5, 2023. Include any planned vacations, camps, school activities, etc.
37. If hired are you willing to go 8 hours without your cell phone ( Except for breaks and lunch)?*

    1. Yes
    2. No
39. EDUCATION & SKILLS
41. Skills/Talents/Certifications? Do you have any special skills or talents? (i.e. singing, dancing, magic tricks, face painting, clown skills, musical instruments, acting etc?) Please list below:
43. Highest level of education completed*

    1. Still in high school
    2. High school
    3. GED

    1. College 0-3 years
    2. Associate's Degree

    1. Bachelor's Degree
    2. Master's Degree
45. WORK EXPERIENCE
47. Name of Employer
49. Address
51. City
52. State
53. Zip Code
55. Your job title
57. Duties performed
59. Reason for leaving
61. Name of Employer
63. Address
65. City
66. State
67. Zip Code
69. Your job title
71. Duties performed
73. Reason for leaving
75. CONVICTIONS
77. Please list all convictions civilian or military other than minor traffic violations. If you have no convictions other than minor traffic violations please write NONE
79. AGREEMENT
81. Agreement of Applicant:

    Agreement of Applicant:

    I, the undersigned, do hereby certify that all statements in this application and accompanying materials are true and I agree and understand that any misrepresentation or deliberate omission of a material fact may be justification for termination or refusal of employment. I authorize the City of White Settlement to release information as necessary to verify statements made in this application and/or accompanying materials. I also authorize the employers,  schools, or persons named above to give any additional information regarding my qualifications and character. I hereby release information providers from any and all liability incurred as a result of furnishing such information.

    In compliance with the Americans with Disabilities Act (ADA), the City of White Settlement offers equal employment opportunities to qualified individuals and strictly prohibits the discrimination against qualified individuals on the basis of disability.  The City of White Settlement shall provide reasonable accommodations to applicants and employees who are otherwise qualified to perform the essential job duties when doing so does not create an undue hardship for the city.   The City of White Settlement provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

    This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training.  The City of White Settlement is mandated by federal law to provide a drug-free working environment for the safety of its employees and the public.   All employment is contingent upon passing a post-offer employment drug screen and physical, if applicable.

    Employment with the City of White Settlement is at-will, and may be terminated at any time by either party.

83. Digitally sign by typing your name*
84. Date
    Date
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86. Submit

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