Employment Application Please fill out completely Date of Application (required) First Name (required) Last Name (required) Address Line 1 (required) City (required) State (required) Zip Code (required) Home Phone (required) Cell Phone (required) Email (required) Select the position/s that you are interested in (required) Adult Basketball Official Daycare Aide - EVENINGS Group Fitness Instructor Lifeguard Personal Trainer Swim Lesson Instructor Water Polo Head Coach Weight Room Attendant Youth & Adult Sport Supervisor Youth Sport Official Zamboni Driver (18 years & older) Are you a citizen of the United States? (required) Yes No Have you ever worked for the SDRC? (required) Yes No Have you ever been discharged or forced to resign from a position? (required) Yes No Have you ever been convicted of violating any Criminal Law other than Minor Traffic Offenses? (required) Yes No Education Highschool (required) Address (required) Did you graduate? Yes No College Address Years you attended College Did you graduate College? Yes No Other Education If you were referred to apply for your chosen position by a current employee, please list their name here. Professional Licenses or Certifications Do you have any professional licenses or certifications? (required) Yes No List your certifications References 1. Full Name of Reference Relationship Company Phone Address 2. Full Name of Reference Relationship Company Phone Address Previous Employment 1. Company Supervisor Phone Location Job Title Starting Salary Ending Salary Please list ALL responsibilities Starting Date Ending Date Reason for leaving May we contact your previous Supervisor for a reference? Yes No 2. Company Supervisor Phone Location Job Title Starting Salary Ending Salary Please list ALL responsibilities Starting Date Ending Date Reason for leaving May we contact your previous Supervisor for a reference? Yes No Military Service Have you served in the Military? Yes No Disclaimer and Signature (required)I authorize investigation of all statements contained in this application, and a check of my criminal history, traffic record, previous employment and educational background. I release South Davis Recreation District and providers of information from any liability as a result of furnishing and receiving any information in this hiring process. I understand that I will be required to submit to a pre-employment drug test as a condition of employment. I certify that all information provided by me in connection with this application is true and complete, and understand that misrepresentation or omission of facts in this application is cause for disqualification of the application and/or separation from employment. There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
