2021 Employee Application Winterset Aquatic Center
Equal Employment Opportunity Statement
The City of Winterset does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, creed, ancestry, pregnancy, age, genetic information, or disability in employment or the provision of services.
(If an ADA accommodation is needed, please contact 515.462.3258)
Email address *
Which position are you applying? *
Are you a returning employee? (2019 season or before) *
Full Name *
Street Address, City, State, Zip *
Cell phone number *
Email *
Are you over the age of 18? *
Do you have a valid driver's license? *
Have you ever been convicted of a felony?
Clear selection
Are you required to register as a sex offender?
Clear selection
Proof of U.S. citizenship or immigration status will be required upon employment. Are you legally eligible for employment in this country? *
Please list current Red Cross Certifications *
Please list any prior job experience ( list employer, position title, dates of employment, responsibilities and reason for leaving)
Please list any prior job experience ( list employer, position title, dates of employment, responsibilities and reason for leaving)
List all dates/times that will interfere with your ability to work during the 2021 aquatic season. ( sports, activities, drivers ed, vacation etc...) Please list all dates you ARE NOT able to work. *
How did you hear about this opening?
Date available to start? *
Pre-employment Agreement *
I understand and agree that:1. If I misrepresent or deliberately leave out a fact in my application, I may be refused employment or, if employed, my employment may be terminated.2. The City has my authorization to thoroughly investigate my work, medical, and personal history that is job-related. I will hold no person, corporation, or organization liable for giving or receiving information in this investigation. 3. The City has my authorization to conduct a court record check as needed. I agree on behalf of myself or anyone representing me that I will hold harmless the City of Winterset from liability for any claim or damages resulting from the release of this information to the City.4. In consideration of my employment, I agree to conform to the rules and regulations of the City and I understand that no representative of the City has any authority to enter into any agreement, oral or written, for employment for any specified period of time or to make any agreement or assurances contrary to this policy.5. The City is an equal opportunity employer. The City does not discriminate and no question on this application is used for the purpose of limiting or excluding any applicant’s consideration for employment on a basis prohibited by local, state, or federal law.6. If employed, I understand that my employment is for no definite period of time, and if my employment is terminated, the City is liable only for wages and salary and benefits earned as of the date of termination.7. This application is current and active for only the position applied for, and it will be necessary for me to fill out a new application for other positions that may be available.8. I have read and agree to the above and hereby certify that the facts I have provided in my employment application are true and complete.By checking this box, I affirm that the information provided on this application is true and correct to the best of my knowledge.
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