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                                           JOB APPLICATION FORM

(Please print or type clearly)



NAME: (first, middle, last)________________________________________________


ADDRESS: (Please list all addresses that may apply)


(Permanent)______________________________________________________________


(Seasonal)______________________________________________________________


CONTACT INFO:


(Phone)_______________________________ (Cell)____________________________


(Email)_________________________________________________________________


EMERGENCY CONTACT INFO:


(Name)_______________________________________ (Phone)__________________


1. What type of RV unit will you use? (5th Wheel, Travel Trailer, Motorhome, Other)

_______________________________________________________________________


Make________________________ Model____________________ Year____________


Length___________ Voltage & Amperage Required_____________________________



2. Will you have an additional vehicle? (State “yes” or “no” and vehicle type.)




3. Do you have or plan on having a pet? (State “yes” or “no”) If “yes”, state number of pets, breed, size, habits.






4. Are you able to perform the essential duties and tasks as outlined in the job description? Yes ( ) No ( )

If “No”, please describe the duties and tasks that cannot be performed.






5. Please list your previous work experience, with emphasis on beach (camp) hosting, working with young adults, law enforcement and other relevant experience.








6. What was your primary occupation? If military, give rank and MOS.


________________________________________________________________________


7. If this position has already been filled, do you want to be put on a contact list for future years?

Yes ( ) No ( )


8. Have you ever been convicted of a Felony? Yes ( ) No ( ) If “Yes”, please explain.





REFERENCES: (List persons who have first-hand knowledge of your work performance in the last three years or can provide a character reference.)

(Please print or type clearly)

Name & Address                               Phone #           Occupation            Relationship


1.




2.




3.






DRUG SCREENING AND A CRIMINAL BACKGROUND CHECK MAY BE REQUIRED.

MAIL COMPLETED APPLICATION FORM TO:

  

LIMINGTON TOWN OFFICES
ATTN: ROXANNE
P. O. BOX 240
LIMINGTON, ME 04049

 

You may attach any additional information which you think might be helpful.

 

Application form may also be emailed to repollard@grandecom.net