Application for New Employment
Summer 2012 (Seasonal Only)
 

Name:                                                                                                                                             

Address:                                                                                                                                        

Phone #:                                                                   Date of Birth:                                                

S.S. #:                                                         School:                                                                       

Special Skills:                                                                                                                             

                                                                                                                                                     

Have you been hospitalized during the past year?                          (Y)                       (N)

(If yes, provide date and reason for hospitalization.)                                                                                               

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IMPORTANT

The minimum age requirement for summer positions is 17 years of age by 1/1/12. ALL applicants UNDER 18 years of age MUST submit working papers with their applications.

All applications must be submitted with proof of a physical exam performed no earlier than June, 2011.

All applicants are subject to Nassau County Civil Service approval.

All applicants should be aware that there will be no time off permitted for summer vacation.

Completed applications will not be accepted until January 3, 2012 beginning at 8:30 AM. All applications must be brought into Village Hall and left with the receptionist where they will be time-stamped.  Applications dropped through the mail slot will not be accepted.  Applications are accepted on a first-come, first served basis.

Working papers, if applicable, and proof of physical must be submitted with application and will not be accepted without same.

I have reviewed and agree to the above-mentioned requirements.

_________________________________                                    __________________
Applicant=s Signature                                                                  Date

 

                                                                                     Contact Susan Walsh at Village Hall if you have any questions at 326-6304.