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Recreation Director Employment Application
Applicants are considered for all positions without regard to race, color, sex, sexual orientation, religion, creed, national origin, ancestry, age, marital or veteran status, disability, handicap or arrest or conviction record.
You must have JavaScript enabled to use this form.
Position Applied For
*
Personal Data
First Name
*
Middle Initial
*
Last Name
*
Address
*
City
*
State
*
Zip Code
*
Telephone
*
Email Address
*
Employment Eligibility
Are you employed now?
*
-Select-
Yes
No
May we contact your present employer?
*
-Select-
Yes
No
On what date would you be available for work?
*
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2022
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Are you eligible to work in the United States?
*
Yes
No
(If offered employment, you will be required to provide documentation to verify eligibility.)
Have you been convicted of a crime (do not include minor traffic violations or ordinance violations)?
*
Yes
No
(You must report all convictions, past and present. A conviction will not automatically disqualify you from employment but any dishonesty relevant to this response will remove your application from further consideration or result in termination of your employment.)
If yes, please explain:
Activities
List professional trade, business or community activities and offices held.
References
References
*
Give name, address and telephone number of three references who are not related to you and are not previous employers.
Education and Formal Training
Do you have a high school diploma of GED certificate?
*
-Select-
Yes
No
Colleges, military, trades, business or other schools attended:
*
Provide Name & Location, Course of Study, Dates, and Degree/Diploma
Licenses or Certificates you have that indicate specialized skills or training:
Title of License or Certificate, Issuing Agency, Skill Area
Are there any special skills you have that you would like us to be aware of?
Work Experience
Most Recent Employer
*
Provide the employer name, address, supervisor's name and telephone number.
Most Recent Job Title
*
Most Recent Job Duties
*
Most Recent Dates of Employment
*
Provide beginning and ending employment dates.
Most Recent Reason for Leaving
*
2nd Most Recent Employer
Provide the employer name, address, supervisor's name and telephone number.
2nd Most Recent Job Title
2nd Most Recent Job Duties
2nd Most Recent Dates of Employment
Provide beginning and ending employment dates.
2nd Most Recent Reason for Leaving
3rd Most Recent Employer
Provide the employer name, address, supervisor's name and telephone number.
3rd Most Recent Job Title
3rd Most Recent Job Duties
3rd Most Recent Dates of Employment
Provide beginning and ending employment dates.
3rd Most Recent Reason for Leaving
Supplemental Questions
How would you work with the public?
*
How would you manage employees?
*
How would you handle record keeping?
*
Supporting Information
Cover Letter
Upload your cover letter.
Files must be less than
5 MB
.
Allowed file types:
txt pdf doc docx
.
Resume
Upload your resume.
Files must be less than
2 MB
.
Allowed file types:
txt pdf doc docx
.
Certification
By signing below, I certify that all statements made on this application are true and correct. I understand that all information is subject to verification. I also understand that any falsification will disqualify me from employment or, if already employed, will result in dismissal. My signature authorizes the City of Dodgeville to secure my driving record (if the position requires driving), transcripts from educational institutions to verify credits/degrees, employment-related information from former employers or references, and any information needed to complete a criminal background check. I understand that I may be asked to undergo a physical examination, including substance abuse screening, prior to appointment to a position with the City of Dodgeville; I also understand that refusal to participate will result in the withdrawal of any offer of employment.
Signature
*
Type Your Full Name
Date
*
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Month
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Year
2022
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2026
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Contact Information
City Hall
100 E. Fountain St.
Dodgeville, WI 53533
Contact
Phone: 608-930-1011
Fax: 608-930-3520
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