APPLICATION FOR EMPLOYMENT & VOLUNTEERING

Application Type*

Department*

Date Field*

Name (Last, First, Middle Initial)*

Contact Information (Address, City, State, Zip, Phone, Email)*

Position(s) Applied for:*

Date available to start:

DRIVING & BACKGROUND INFO

Are you a citizen of the U.S?*

Do we have permission to check your driving record?

Driver's License #

Do we have permission to run a background check?

Please list any additional names you may have used. ex. maiden name

Ethnicity (OPTIONAL) * Information used for Grant Funding Data

APPLICANT HISTORY

Education

Extra Curricular

Employment History

References

DISCLAIMER / WAIVER & SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment or community service/volunteer hours, I understand that false or misleading information in my application or interview may result in my release. I also agree and understand to hold the Romeo-Washington-Bruce Parks & Recreation Department, the Township of Washington & Bruce, Village of Romeo, Romeo Community Schools, and/or any affiliated group & individuals associated with the above organizations free from liability of any loss, damage, injury or death that may occur at an activity or facility – regardless of cause.

Signature and Date*

Upload Resume

COMMUNITY SERVICE APPLICATIONS ONLY

Hours Needed

Reason For Court Order

Text Area

Employment / Volunteer Application

APPLICATION FOR EMPLOYMENT & VOLUNTEERING

DRIVING & BACKGROUND INFO

APPLICANT HISTORY

COMMUNITY SERVICE APPLICATIONS ONLY