Recreation and Outdoor Activities in Portola Valley, a Unique Community
Ladera Recreation District 150 Andeta Way. Portola Valley. CA 94028 650-854-3242
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> Employment
APPLICATION FOR EMPLOYMENT
Position applying for :
Firstname :
Lastname :
Street address :
City :
Zipcode :
Email :
Home Phone :
Cell :
I am a returning employee :
Yes
No
If yes, what was your position? :
Hourly rate at end of 2009? :
How many years have you been employed at Ladera? :
The minimum age for employment with the Ladera Recreation District is 14 years. (Some jobs have a higher age requirement. Please check with manager.)
If hired, can you furnish proof of age?
Yes
No
EDUCATION
Highest grade completed: Intermediate/High School Years of College
7
8
9
10
11
12
GED
College 1
College 2
College 3
College 4
Intermediate School :
Name :
City :
Name :
City :
CHARACTER REFERENCES
(Not necessary if you are a returning employee)
List the names of three adults (other than relatives) who have known you more than a year. You may include school principals, athletic coaches, counselors, etc.
Name :
Phone :
Name :
Phone :
Name :
Phone :
CERTIFICATIONS
( Proof of Certification is required)
DATE EXPIRES
Drivers License :
Standard First Aid :
Cardiopulmonary Resuscitation (CPR) :
LIFEGUARD TRAINING
Water Safety Iinstructor (WSI) :
WORK EXPERIENCE (Please list all experience that will be relevant to the position for which you are applying.)
AVAILABILITY
I AM AVAILABLE From (Date) :
Until :
AFTER SCHOOL
DAY-TIME
WEEKNIGHTS
WEEKENDS
SPRING
SUMMER
FALL
WINTER
If at college, indicate date you will be back in the Bay Area and ready to work :
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CAMP COUNSELORS ONLY :
Please check activities which you feel competent to organize and teach:
Art and Crafts
Games
Nature Study
Story telling
Plays/skits
Singing
Musical Instrument
Which qualities do you have that will help you as a camp counselor?
I CERTIFIY THAT THE INFORMATION I HAVE GIVEN HERE IS TRUE AND CORRECT.
Employee Declaration Form
Employment Application Form
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