Form Center • Aberdeen, SD • CivicEngage

Page 1

Please Select ALL Positions that you are interested in (age requirements listed in parentheses)
1. Open Gym Supervisors (16+)
2. Volleyball Officials (18+)
3. Men's Basketball Officials (21+)
4. Men's Basketball Scorekeepers (18+)
5. Ice Skating Lesson Instructors (16+)
6. Ice Arena Skate Shop Attendent (16+)
7. Indoor & Outdoor Ice Rink Supervisors (18+)
8. Yapatorium Supervisor (18+)
9. ARCC Program Instructors (18+)
1. ARCC Program Assistants (14+)
2. Music Lesson Instructor (18+)
3. Wylie Park Campground Attendant (18+)
4. Wylie Park Maintenance (18+)
5. Park Maintenance (18+)
6. Cemetery Maintenance (18+)
7. Golf Course Worker (18+)
8. Forestry Worker (18+)
Please List any other positions you are interested in
Last Name*
First Name*
Middle Initial
Mailing Address*
City*
State*
Zip*
Email Address*
Phone Number*
Name of Emergency Contact*
Phone Number of Emergency Contact*
Have you ever attended school or been employed under any other name than used above?*
1. Yes
1. No
If Yes, Please List Name
Do you claim veteran's preference?*
1. Yes
1. No
If yes, attach a copy of DD214 (seperation papers)
Are you legally eligible for employment in the United States? (Proof will be required upon hire)*
1. Yes
1. No
Check each type of employment you will accept.
1. Full Time
1. Part Time
1. Temporary (6 months or less)
1. Seasonal (Duration of Season)
Seasonal Position - Desired Hours Per Week*
1. Full Time (35+ per week)
1. Part Time (Approximate 20 per week)
1. Other - please list below
If Other, Please list amount of hours desired to work
How did you hear about the position?
When could you begin employment? Please list date or working days notice to present employer
Have you ever been employed by the City of Aberdeen?*
1. Yes
1. No
Are you under age 18?*
1. Yes
1. No
If yes, will you be 18 by May 1st?
1. Yes
1. No
Are you under age 16?*
1. Yes
1. No
If yes, will you be 16 by May 1st?
1. Yes
1. No
Continue

References

List names, addresses and phone numbers of three personal references.
Full Name
Address
Phone Number
Full Name
Address
Phone Number
Full Name
Address
Phone Number
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Education

Be as thorough as possible in describing your education and work experience. Vague or incomplete answers will not be interpreted in your favor. If you need more space, attach additional sheets
Do you possess a High School Diploma or GED?*
1. Yes
1. No
List formal education beginning with the most recent. Include college, high school, vocational or business school, apprenticeship, military training, etc
Name and Address of School
Major(s) or course
Minor(s)
Did you graduate?
Type of Degree
Name and Address of School
Major(s) or course
Minor(s)
Did you graduate?
Type of Degree
Name and Address of School
Major(s) or course
Minor(s)
Did you graduate?
Type of Degree
Use this space to identify any other educational experiences you have had which are pertinent to this position. Include workshops, seminars, military or vocational training which are not listed above.
List below any violations for which you were convicted in a court of law. Convictions will not necessarily disqualify you from employment with the City of Aberdeen. The decision will be based on a number of factors such as duties of the job for which you are being considered, the seriousness of the offense of which you were convicted, your age at the time of the offense, rehabilitation efforts, the recency of the offense etc. Please be complete and include the following: Offense, Location, Date, and Disposition (Sentence). All information is subject to verification.
Do you possess a valid Drivers License?*
1. Yes
1. No
Do you posses a valid Commercial Drivers License?
1. Yes
1. No
Do you use a computer?
List an office machines you can operate.
List any motorized equipment you can operate.
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Work History

Begin with your current or most recent position and work backwards. List each promotion as a separate job. Include paid and verifiable nonpaid experience including military service. Be as accurate and complete as possible, especially in describing the duties of each position. If you need more space, attach additional sheets using the same format.
Current or most recent position
Dates of Employment
Total Years/Months
Job Title
Starting Salary
Ending Salary
Employer
Phone
Employer's Address including City, State and Zip
Supervisor Name and Title
Phone
Number of employees you supervised
Average hours worked per week
Reason for leaving
Complete Description of duties
May we contact this employer?
1. Yes
1. No
Next previous position
Dates of Employment
Total Year/Months
Job Title
Starting Salary
Ending Salary
Employer
Phone
Employer's Address including City, State and Zip
Supervisor Name and Title
Phone
Number of employees you supervised
Average hours worked per week
Reason for leaving
Complete Description of duties
May we contact this employer?
1. Yes
1. No
Next Previous Position
Date of Employment
Total Years/Months
Job Title
Starting Salary
Ending Salary
Employer
Phone
Employer's Address including City, State and Zip
Supervisor Name and Title
Phone
Number of employees you supervised
Average hours worked per week
Reason for leaving
Complete Description of duties
May we contact this employer?
1. Yes
1. No
Please list any experience or training related to the position(s) you are applying for
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Disclaimer & Signature

DRUG-FREE WORKPLACE ACT COMPLIANCE: The City of Aberdeen complies with the Drug-Free Workplace Act. As a condition of your employment, you may be asked to participate in drug screening. If you refuse such screening or test positive (evidence of drug usage), you will not be offered employment or such offer will be withdrawn.
AMERICANS WITH DISABILITIES ACT COMPLIANCE: The City of Aberdeen fully subscribes to the provisions of the Americans With Disabilities Act and will attempt in its employment process to make any reasonable accommodations necessary to assist qualified persons with disabilities.
I hereby certify that this application is complete to the best of my knowledge for the periods of employment listed and all information given is true and contains no misrepresentations. I am aware that all statements on this application are subject to investigation and verification. I understand that any withholding of information, misrepresentation or falsification of statements on this application or on City medical forms could result in rejection for employment, or if employed, termination from the City at any time.
I authorize and release from liability all employers, persons, schools, law enforcement agencies and other organizations named in this application to provide information requested by the City of Aberdeen in its processing of this application.
I also understand that nothing in this application or in the granting of an interview is intended to create an employment contract. I have received no promise regarding employment and I understand that no such promise or guarantee is binding on the City of Aberdeen. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the City of Aberdeen has a similar right.
Your electronic signature below indicates your agreement with the following statements: By typing my name in the following box and clicking submit button I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my employment application and information.
Applicant Signature*

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Email address

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Fall Winter Job Application

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References

Education

Work History

Disclaimer & Signature