MINOR EMPLOYEE APPLICATION 2024-2025

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out all of this employment application as well as the other employment requirements found on our website: www.bethelrec.org.

Email *

EMPLOYEE LEGAL LAST NAME *

EMPLOYEE LEGAL FIRST NAME *

EMPLOYEE LEGAL MIDDLE NAME *

PHONE # *

SOCIAL SECURITY NUMBER XXX-XX-XXXX Add Dashes *

DATE OF BIRTH *

YYYY

GENDER OF APPLICANT *

Female

Male

FULL STREET ADDRESS (City, State, Zip) *

POSITION YOU ARE APPLYING FOR? *

Official

Field Maintenance Worker

OTHER

SHIRT SIZE *

XXL

XXXL

ARE YOU A CITIZEN OF THE UNITED STATES? *

Yes

HAVE YOU WORKED FOR BETHEL RECREATION BEFORE? *

Yes

HAVE YOU BEEN CONVICTED OF A FELONY BEFORE? *

Yes

WHERE DO YOU ATTEND SCHOOL? *

WHAT GRADE ARE YOU CURRENTLY ATTENDING? *

MEDICAL & EMERGENCY CONTACT LAST NAME *

MEDICAL & EMERGENCY CONTACT FIRST NAME *

RELATIONSHIP TO EMPLOYEE? *

EMERGENCY CONTACT PHONE NUMBER XXX-XXX-XXXX *

ALLERGIES/SPECIAL HEALTH CONCERNS?

PREVIOUS EMPLOYER (COMPANY, JOB TITLE, SUPERVISOR, PHONE #) Leave blank if you have never worked before

IF YOU HAVE WORKED BEFORE LIST THE DATES YOU WORKED FROM ______ TO ________ AND RESPONSIBILITIES

I authorize all medical and surgical treatment, x-ray, laboratory, anesthesia, and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for myself or my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian (if under 18) can be reached in the case of an emergency. I release Bethel Recreation Association and individuals from liability in case of an accident during activities related to employment or volunteer work, as long as normal safety procedures have been taken. I certify that the information is true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application may result in my release from Bethel Recreation Association.

The undersigned certifies, subject to the penalties of perjury, that the information above is true and correct to my knowledge. Sign your Signature Below if above 18 or your parent/guardian signs their signature if under 18. *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Bethel School District. Report Abuse

Forms