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---- <br />';T:'-(. <br />Recreation Factory Partners, LLC dba <br />ORANG E CO UNTY SPORTSPLEX <br />101 Meadowlands Drive <br />Hillsborough, NC 27278 <br />PLEASE PRINT (919) 644~0339 <br />Equal access to programs, services, and employment is available to all persons . Those applicants requiring reasonable accomodation to the <br />application and/or interview process should notify the Assistant General Manager. <br />[~~~~~~~~~~~~~~~~~~~~~I~~~~[~1~~p~flC~g~!~f~J~f~]~~~JnE~!~~EIYr~~~~~~~~~~~~~~~J <br />! Aquatics/Lifeguard Birthday Parties Cleaning Fitness! <br />: Front Desk Ice Rink/Skate Guard KidsPlex :i____~~J~~~_n_~~9_~____________ ~~_~~~!:~_~~~_________________~~~_~~~J~~__________________! <br />Name Date of application <br />LAST FIRST M.1. <br />Address <br />__ __-L_____________________~Telephone # Mobile / Other # <br />E-mail Address (required) <br />If you are under 18, and it is required, can you furnish a permit? DYes 0 No <br />If no, please explain <br />Have you ever been employed here before? 0 Yes 0 No <br />If yes, give dates and positions <br />Are you legally eligible for employment in this country? 0 Yes 0 No <br />Date available for work / / What is your desired salary range? $ <br />Type of employment desired 0 Full-Time 0 Part-Time 0 Temporary 0 Seasonal LEducational Co-Op <br />Are you able to meet the attendance requirements of the position? 0 Yes 0 No <br />Have you ever pled "guilty" or "no contest" to, or been convicted of a crime? 0 Yes 0 No <br />If yes, please provide date(s) and details <br />ANSWERING ''YES'' TO THESE QUESTIONS DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT. FACTORS SUCH AS DATE OF THE OFFENSE, SERIOUSNESS, AND NATURE <br />OF THE VIOLATION, REHABILIATION, AND POSITION APPLIED FOR WILL BE TAKEN INTO ACCOUNT. <br />Driver's license number State <br />Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform jOb-related <br />functions in the position for which you are applying, <br />~ -NAME OF·SCHOOL ----. ­.. . . <br />lOCATION NUMBER OF YEARS DID YOU GRADUATE? COURSE OF STUDY <br />COMPLETED <br />HIGH SCHOOL YEAR <br />COLLEGE YEAR <br />I <br />DEGREE <br />OTHER <br />Q <br />TITLE YEARS KNOWN TELEPHONE <br />Docusign Envelope ID: 177AA06A-30B4-42FF-A85A-78B5A7C51DBE