Applicationfor Employment

SanDieguitoRiverValleyRegionalOpenSpacePark 18372SycamoreCreekRoadEscondido,CA92025

(858) 674-2270 Fax (858) 674-2280

APPLICATIONFOR EMPLOYMENT

Instructions: Fill out onlineand submit by email.

TheinformationbeingrequestedinthisapplicationisconfidentialandwillbeusedsolelyforthepurposesofevaluatingtheapplicantforemploymentatSanDieguitoRiverPark.Itwillbeusedfornootherpurpose.Failuretoprovidetherequestedinformationinfullmayresultintheapplicantnotbeingconsideredforemployment.

EDUCATION

Check highestgrade completed: 1_2 _ 3 _ 4_5_6 _ 7_8 _ 9_10_11_12_ Check highestcollege year completed:1_ 2_ 3_ 4_ Post Graduate: 1_ 2_ 3_ 4 _

Names of schoolsattended / Location (City/State) / From / To / Date
Graduated / Major / Type of Degree
High School
Community College
College or University
Graduate Work
Vocational, Trade or Business

List additional school courses or training whichwould qualify you for this position.

Certificates of professional or vocational competence:

Do you have a California driver’s license? YESNO

Are you CPRand First Aid certified?? YESNO

ADDITIONALINFORMATION:

Giveanyadditionalinformationyouwishcoveringyourqualificationsorinterestspertinenttothejobforwhichyouareapplying.(Useseparatepieceofpaperifneeded.)

Check Appropriate Response

1.Wereyoueverdischargedfromanyposition?(Ifyes,explainbelow)YES

2.Exceptforminortrafficviolations,haveyoueverbeenconvictedofafelony? YESIfyes,explainthenatureofoffenseanddispositionbelow.

3.Maywecontactyourcurrentemployer?YES

NO NO

NO

Explanation:

APPLICANTCERTIFIES:Allstatementsinthisapplicationaretrueandcorrecttothebestofmyknowledgeandbelief.Iunderstandthatfalseormisleadinganswersarecauseforrejectionofthisapplicationordismissalfromemployment.

Date:Applicant’sSignature

Experience: Show your employment record for the past 10 years, beginningwith your most recent experience. If youdo not have 10 years experience, showyour employment fromage 18.If the experience is part time or voluntary,

identifyhoursworkedperweek. As resume doesnotsubstitute for completion of this section. Fill this section incompletely. Attach additional sheet if necessary.

Employer(Name,BusinessAddress / Jobtitle:
Briefdescription of duties:
DatesFrom(mm/dd/yyyy) / Full-timePart-time Average hrs. per week
To / Reason for leaving:
Salary $per yr.
Employer(Name,BusinessAddress / Jobtitle:
Briefdescription of duties:
DatesFrom(mm/dd/yyyy) / Full-timePart-timeAverage hrs. per week
To / Reason for leaving:
Salary $per yr.
Employer(Name,BusinessAddress / Jobtitle:
Briefdescription of duties:
DatesFrom(mm/dd/yyyy) / Full-timePart-timeAverage hrs. per week
To / Reason for leaving:
Salary $per yr.
Employer(Name,BusinessAddress / Jobtitle:
Briefdescription of duties:
DatesFrom(mm/dd/yyyy) / Full-timePart-timeAverage hrs. per week
To / Reason for leaving:
Salary $per yr.
Employer(Name,BusinessAddress / Jobtitle:
Briefdescription of duties:
DatesFrom(mm/dd/yyyy) / Full-timePart-timeAverage hrs. per week
To / Reason for leaving:
Salary $per yr.