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2. Thank you for your interest in employment at The Lodge Des Peres. Please complete the application and submit. We will be in contact should a position become available. The City of Des Peres is an Equal Opportunity Employer. Reasonable accommodation will be provided as required by law.
   
4. Applicant Information
6. Last Name:*
8. First Name:*
10. Address:*
12. City:*
14. State:*
16. Zip:*
18. Daytime Phone Number:*
20. Evening Phone Number:*
22. Email Address:*
24. I would like to apply for the following position:
26. Please select all that apply.*

    1. Basketball Official - Year Round, Tuesday Nights
    2. Building Custodial - Full-Time (2nd Shift evenings & weekends)
    3. Building Custodial - Part-Time (Primarily evenings & weekends)
    4. Camp Counselor (Summer)
    5. Dance Aide - Part-Time September-May
    6. Dance Instructor - Part-Time September-May
    7. Group and/or Private Swim Lesson Instructor - Year Round
    8. Group Exercise Instructor - Part-Time
    9. Group Exercise Instructor (Les Mills) - Part-Time
    10. Head Lifeguard
    11. Inclusion Camp Counselor
    12. Lifeguard
    13. Lifeguard Instructor (LGI)
    14. Personal Trainer - Part-Time
    15. Softball Umpire (Adult)
    16. Tennis Instructor (April-October)
    17. Tot Care Aide - Mornings
    18. Volleyball Official and/or Instructor
28. Have you ever been employed with the City of Des Peres before? *
    -- Select One --Select OneYesNo
30. 
    If yes, give date:
32. 
    Are you currently employed? *
    -- Select One --Select OneYesNo
33. Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment. *
    -- Select One --Select OneYesNo
35. 
    On what date would you be available for work?*
37. 
    Have you been convicted of a felony within the last 7 years? Conviction will not necessary disqualify an applicant from employment. *
    -- Select One --Select OneYesNo
39. If yes, please explain.
41. How did you hear about the job opening. Please be as specific as possible:
43. 
    Education
    
45. High School Name:*
47. Degree/Diploma:*
    -- Select One --Select OneYesNo
49. Describe Course of Study:
51. Undergraduate College/University Name:
53. Degree?
    -- Select One --Select OneYesNo
55. Describe Course of Study:
57. Graduate/Professional:
59. Degree?
    -- Select One --Select OneYesNo
61. Describe Course of Study:
63. Describe any certifications, specialized training, apprenticeship, skills and extra-curricular activities:
65. Describe any honors you have received:
67. State any additional information you feel may be helpful to us in considering your application:
69. Please attach (or write below) a cover letter stating the position(s) you are interested in and why. In addition, please review our Lodge Life Values and Mission statement and tell us why you will be a great fit for our organization (http://www.desperesmo.org/LodgeDesPeresEmployment):
71. Cover Letter:
73. Please attach your resume (optional):
75. Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.
77. Employer:
79. Address:
81. Telephone Number:
83. Job Title:
85. Supervisor:
87. Reason for Leaving:
89. Length of Service:
91. Starting Salary:
93. Final Salary:
95. Work Performed:
97. Employer:
99. Address:
101. Telephone Number:
103. Job Title:
105. Supervisor:
107. Reason for Leaving:
109. Length of Service:
111. Starting Salary:
113. Final Salary:
115. Work Performed:
117. Employer:
119. Address:
121. Telephone Number:
123. Job Title:
125. Supervisor:
127. Reason for Leaving:
129. Length of Service:
131. Starting Salary:
133. Final Salary:
135. Work Performed:
137. Give name, address and telephone number of three references who are not related to you and are not previous employers.
139. Reference 1:
141. Name:*
143. Address:
145. Phone:*
147. Reference 2:
149. Name: *
151. Address:
153. Phone:*
155. Reference 3:
157. Name:*
159. Address:
161. Phone:*
163. Applicants Statement:
     I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
165. Please initial that you agree to the statement above. *
167. 
     
169. Thank you for submitting your application online. We will review your application soon.
Leave This Blank:


171. 1. Receive an email copy of this form.
172. Email address

     This field is not part of the form submission.

173. Submit

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