Inclusion Staff Employment Application
This is an application for summer employment with the Burlington Parks and Recreation Department. For a full list of job openings, responsibilities, and qualifications, please visit
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Full Name *
Mailing Address *
Telephone (Primary) *
Telephone (Alternative)
Email Address *
Are you legally eligible to work in the united states? *
If you are under 18 years of age, can you provide proof of eligibility to work?
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If hired, are you able to perform the essential job functions of the job you are applying for, with reasonable accommodation? *
What position are you applying for? *
Which of the following are you available to work? *
Are you able to work overtime on weekends, evenings, and holidays if necessary? *
How did you hear about the position? *
Have you ever been an employee of the Town of Burlington? *
If you have been employed by the Town of Burlington, please give dates and tell us for which department.
Please list all schools you have attended, the years you attended, and any degree earned. (Include High School, College, Graduate, and Vocational Schools) *
Describe any specialized training, coursework, or apprenticeships.
List professional, trade, business, or civic activities and offices held.
Please list any skills you have that are relevant to the position you are applying for. (This may include use of technology or foreign languages)
Do you have a valid driver's license? *
What class of license do you possess? Check all that apply, if any.
For any driver's license possessed, what is the date of expiration?
Have you ever had your license or driving privileges revoked, suspended, or placed on probation? *
If you have had your license or driving privileges revoked, please explain. Include when, where and what action was taken.
Do you have any friends and/or relatives that work for the Town of Burlington? If so, please let us know their name and relationship to you. (up to two names)
Please list 3 professional and/or business references only. (Include persons name, company name, phone number, and their relationship to you)
Do you have employment or volunteer experience to add?
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