Employment Application
Crook County Parks & Recreation District is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, age, national origin, veteran status, or any other classification protected by law.
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Email *
Which position(s) are you interested in? *
Name *
First and last name
Phone number *
Street Address *
City *
State *
Zip Code *
Are you over the age of 16? *
Parent / Guardian Info.
If under the age of 18, please provide your parent or legal guardian Name, Phone Number, Email Address:
Have you ever filed an application with us before? *
Have you ever been employed with us before? *
Have you ever volunteered with us before? *
Please select desired type of employment *
Required
Please select the months you are available to work *
We would like specific dates of availability at the time of an interview.
Required
Education & Qualifications
Please list out any schools you have attended
Please select all that apply *
Required
If this position would be a first job for you, what types of things have you done, or in what ways have you prepare yourself for work? (Skip this question if it does not apply to you.)
Please list out any certificates and licenses you hold that may pertain to the position applied for.
Please list out any specialized skills or qualifications you have that may pertain to the position applied for.
Please write a brief description about why would like to work for Crook County Parks & Recreation District *
Employment History
Are you currently employed? *
If currently employed, is it ok if we contact your supervisor? *
Employer #1
Most recent employer
Please list out the business name of your current or last employer.
What timeframe did you work for them?
Please list their mailing address
Please list the name of your supervisor and their phone number if it is permissible for us to contact them.
What is / was the title of your position?
What were your primary duties?
Employer #2
Second most recent employer
Please list out the business name of your current or last employer.
What timeframe did you work for them?
Please list their mailing address
Please list the name of your supervisor and their phone number if it is permissible for us to contact them.
What is / was the title of your position?
What were your primary duties?
Employer #3
Third most recent employer
Please list out the business name of your current or last employer.
What timeframe did you work for them?
Please list their mailing address
Please list the name of your supervisor and their phone number if it is permissible for us to contact them.
What is / was the title of your position?
What were your primary duties?
References
Please request permission from your references prior to listing their names and phone numbers.  When we call, we will ask them basic questions about your work ethic and character.
Please list three personal or professional references and provide us with their phone number (preferably a mobile #).  
Email resume or letters of recommendation (optional)
We value receiving resumes and letters of recommendation.  If you would like to send additional information to us, please include it as a PDF attachment and email it to: info@ccprd.org.  We will include it with your application and take this information into consideration.  
Veterans' Preference ORS 408.230
Veterans who meet the minimum qualifications for a position open for recruitment may be eligible
for preference in employment under Oregon law. If you are a Qualified Veteran or Qualified
Disabled Veteran and would like to be granted preference in the selection and hiring process for a
specific posted job, please fill out a Veterans’ Preference Form and provide proof of eligibility by
submitting a copy of form DD-214 or 215.  For more information please click the link below. https://www.oregon.gov/das/HR/Documents/Veteran%20Preference%20Guide.pdf 
https://www.opm.gov/forms/pdf_fill/sf15.pdf
Veterans preference form can be emailed to: info@ccprd.org and we will consider it along with your employment application.
Certification
By submitting this application:
I certify that all statements contained herein are true and complete.  I understand that I must provide proof that I am authorized to work in the United States, in accordance with federal law, if I am hired.  I authorize the employing agency to verify the employment and education information provided in this employment application.  I authorize my driving record to be checked if the position for which I am applying requires me to drive.  I understand and agree to be subjected to a pre-employment drug screening and criminal history background check, if applicable.  I am able to perform the essential duties of this position as advertised, with or without reasonable accommodation.
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