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2. PARAMUS RECREATION P/T EMPLOYMENT APPLICATION

   ***All employees will be required to complete payroll paperwork and a drug test upon hiring***

   
   

6. Please list the Position/Positions that you are applying for:*
8. Name*
9. Email Address*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Cell Number*
20. Level of Education Completed:*
21. Shirt Size (Mens Sizes):
25. Have you worked for us in the past? Y/N If Yes, please state the position and dates of employment;*

    1. Yes
    2. No
27. Position Worked:
28. Dates Employed:
    Dates Employed: Start Date

    —

    Dates Employed: End Date
32. Emergency Contact (parent/guardian/spouse) and their phone number:*
34. Allergies or medical conditions we should be aware of:*
36. List your education background, experience, and certifications pertaining to the position:*
38. References: Please list Three References - Name, Phone, Email & Relation (no relatives):
40. Reference Number 1:*
42. Reference Number 2:*
44. Reference Number 3:*
46. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
48. Electronic Signature*
49. Date:*
    Date:
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit Submit and Print

* indicates a required field