Job Application Job Application Application for employment with the Hannibal Parks & Recreation Department APPLICATION FOR EMPLOYMENTCity of HannibalParks & Recreation Department320 BroadwayHannibal, MO 63401Phone 573 221-0154Fax 573 221-0707 Name * First Last * Last Email * Mobile Phone Number * Secondary Contact Phone Number Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Position Applied For * Lifeguard Front Desk/Concessions (Pool) Concessions (BCSP) Umpire (BCSP) Seasonal Maintenance *Select all that you wish to apply for* Employment Desired * Full-time Part-time Full- or Part- time Are you willing to work evenings or weekends if required? * Yes No If hired, what is the first date you would be available to work? * Have you ever been convicted of a felony or received a suspended imposition of sentence for a felony? * Yes No If so, please explain circumstances: Can you operate an automobile? * Yes No Do you have a CDL License? * Yes No Have you had any arrests, suspensions, or revocations on your driving record? * Yes No If so, please explain circumstances: EDUCATION High School * Name and Location of School * Year Diploma or GED Received * College/University Name Location of School Major Year Degree Received College/University Name Location of School Major Year Degree Received College/University Name Location of School Major Year Degree Received Other Training - Facility Name Location of Training Type of Training Received Year Training Completed Other Training - Facility Name Location of Training Type of Training Received Year Training Completed If education or training was received under a different last name, please give the name that appears on your school or training records: EMPLOYMENT HISTORY Employer Name Address Phone Date Started Date Left Reason for Leaving May we contact this employer for a reference? Yes No Describe Duties Employer Name Address Phone Date Started Date Left Reason for Leaving May we contact this employer for a reference? Yes No Describe Duties Employer Name Address Phone Date Started Date Left Reason for Leaving May we contact this employer for a reference? Yes No Describe Duties Employer Name Address Phone Date Started Date Left Reason for Leaving May we contact this employer for a reference? Yes No Describe Duties Please list job knowledge or abilities that will be useful for the position applied for: Please list professional or character references (no relatives): Name * Phone * Email Name * Phone * Email Name * Phone * Email Name * Phone * Email Additional Comments: Applicants are encouraged to submit a resume, work samples, and academic records if available: Drop a file here or click to upload Choose File Maximum file size: 52.43MB I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that by signing this application, I will allow a check on background and references as indicated above. I also understand that if I am employed, any false statements on this application may result in dismissal. I authorize the City to make an investigation of any of the facts set forth in this application. By typing my name here, I certify that I am the applicant: * Date * CAPTCHA Submit If you are human, leave this field blank.
