City of Phoenix Parks and Recreation Department Part-Time Application Fingerprinting and a local criminal background check are conducted for all employees age 18 or older. For those employees who provide a direct service to children, a state and federal criminal history records check is conducted. Employment is contingent upon successful completion of the criminal background, pre-employment drug testing, and a driver s license check for those employees in designated driving positions. All people hired will be required to complete, and sign under penalty of perjury, a U.S. Department of Justice Employment Eligibility form. The City of Phoenix seeks to hire the person best qualified for a position vacancy, without regard to national origin or other non-job related factors. To Apply: Applications will be accepted on a continuous basis at the following locations: Adaptive Recreation Services 1946 W. Morningside Drive 85023 (602) 262-4543 Central City District-East Office 1001 N. 52 nd St. 85008 (602) 256-3220 Central District 2700 N. 15 th Avenue 85007 (602) 262-6412 Natural Resources Division 2705 N. 15 th Avenue 85007 (602) 534-6522 Northeast District 17642 N. 40 th St. 85032 (602) 262-6696 Northwest District 3901 W. Glendale Avenue 85051 (602) 262-6575 South District 1346 E. South Mountain Avenue 85042 (602) 262-6111 Special Operations Division 1802 W. Encanto Blvd. 85007 (602) 262-6386 West District 4155 W. Glenrosa 85019 (602) 262-4539 Youth Development Division 3333 N. 7 th Avenue 85013 (602) 262-7370 Aguila Golf Course 8440 S. 35 th Ave (602) 534-6142 Cave Creek Golf Course 15202 N. 19 th Avenue 85023 (602) 495-0219 Encanto Golf Course 1802 W. Encanto Blvd 85007 (602) 261-8979 Maryvale Golf Course 5902 W. Indian School Rd. 85003 (602) 262-6419 Palo Verde Golf Course 6215 N. 15 th Avenue 85015 (602) 249-9930 Papago Golf Course 5595 E. Moreland 85008 (602) 262-6275 Applications will be kept on file for one (1) year. The City of Phoenix is an Equal Opportunity/Reasonable Accommodation employer. The City of Phoenix prohibits discrimination on the basis of race, ethnicity, national origin, sex, religion, age, sexual orientation, or disability. If you have a disability and require reasonable accommodation in the application process, please call the department personnel section at (602) 495-2032, TTY/TDD (602) 262-6713. This publication can be provided in an alternative format upon request. JOB TITLE FOR WHICH YOU ARE APPLYING SOCIAL SECURITY NUMBER (Optional) LAST NAME FIRST NAME M.I. ADDRESS APT. OR SPACE CITY, STATE AND ZIP CODE AREA CODE AND HOME PHONE AREA CODE, DAYTIME PHONE, AND EXTENSION May we contact you at this number? Yes No E-MAIL ADDRESS DATE YOU CAN START WORK DATE YOU CAN WORK UNTIL HOURS AVAILABLE TO WORK SOME POSITIONS REQUIRE THE USE OF A PERSONAL VEHICLE. DO YOU HAVE TRANSPORTATION? YES NO EDUCATION School, City, and State Number of Credit Hours Earned Course Titles or Major Field Degree or Certificate Received Please list or attach a list of apprenticeships, workshops, seminars, training classes, and on-the-job training. Please include dates. List attached
Please list or attach a list of professional licenses, certifications, and registrations. Please include dates. List attached Please provide your driver license number, issuing state, class of license, and expiration date: Please indicate the language(s) other than English in which you can communicate well: Are you now or have you ever been employed by the City of Phoenix? Yes No (Former employees - please indicate your last department) Dates Employed: From: To: Current/Last Department: If you are currently employed, may we contact your employer regarding your qualifications and employment record? Yes No I will accept (check all that apply) Days Evenings Nights Rotating Weekends Holidays Overtime EXPERIENCE: Your qualifications will be evaluated on the basis of the information you provide on this application. The amount of experience you have and the way you describe it will determine whether you advance to the next step of this recruitment process. Please describe on this page or on an attachment all relevant experience, including volunteer and other unpaid experience. Begin with your present or most recent position, and describe your employment history for at least the past five years. Please complete each section thoroughly. If needed, describe additional relevant experience on an attachment using the same format as below. MOST RECENT JOB MAY WE CONTACT YOUR PRESENT EMPLOYER? YES NO EMPLOYER NAME ADDRESS TELEPHONE DESCRIBE YOUR WORK 2ND MOST RECENT JOB EMPLOYER ADDRESS DESCRIBE YOUR WORK
3RD MOST RECENT JOB EMPLOYER ADDRESS DESCRIBE YOUR WORK: PLEASE READ THIS STATEMENT AND CAREFULLY REVIEW YOUR ENTIRE APPLICATION MATERIAL BEFORE SIGNING BELOW. This signed statement will be attached to your resume. Have you ever been convicted of a misdemeanor, a felony, placed on probation, or given a suspended sentence in court? Include any convictions by military trial and any criminal charges for which you are awaiting trial. Upon offer of employment, your fingerprints may be sent to local and federal agencies for record verification. Full disclosure is to your advantage because your record does not automatically disqualify you for employment. Failure to admit convictions will result in disqualification from the hiring process or discharge from City of Phoenix employment. (Write Yes or No.) If yes, please explain: The City of Phoenix supports a drug-free workplace. After an employment offer is made, external applicants will be required to take and pass a drug test. Employment will be contingent upon successful completion of this drug test and consideration of background, reference, and other job-related selection information. I HEREBY CERTIFY THAT ALL THE STATEMENTS CONTAINED ON THIS APPLICATION AND ANY ATTACHMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT OMISSIONS OR MISSTATEMENTS MAY BE CAUSE FOR REJECTION OF THIS APPLICATION, REMOVAL OF MY NAME FROM THE ELIGIBLE LIST, OR DISCHARGE FROM CITY EMPLOYMENT. Signature Date Rev. 2/1/06
City of Phoenix Parks and Recreation Department Part Time Recreation Supplement Last Name First Middle Home Phone ( ) Mailing Address City State Zip Code Message Phone ( ) Check below each position you are applying for: Recreation Aide Recreation Instructor Recreation Leader EDUCATION: Circle the last year to be completed by the end of this year. Degree: Major: Date: 10 11 12 13 14 15 16 17 If no degree, total semester hours earned: GED Date: SKILLS: Mark an X in the box for those activities you feel qualified to INSTRUCT, or have experience instructing. Under the YRS column, fill in the number of YEARS of experience you have leading the activity. Yrs SPORTS / ACTIVITY Yrs SPECIAL SKILLS Yrs SPECIALTY INSTRUCTION Basketball Aerobic Exercise Homework Assistance Baseball Leagues Auto Mechanics Writing / Journalism Flag Football Cheer / Pom Outdoor Education Golf Clerical Arts and Crafts Gymnastics Word Processing Cooking Adults / Children Hockey Computer Graphics Story Telling Low Organized / Group Games Grant Writing Teen Clubs / Groups Preschool Sports Martial Arts Seniors Roller Blade Special Events Planning Fine Arts (specify below) Soccer Sports Camp / Clinic Softball Leagues / Tournaments Sports Officiating Music (specify below) Tennis / Racquetball Tournament Organization Volleyball Tumbling / Acrobatics Life Skills (specify below) Fitness (specify below) Volunteer Supervision Bilingual (specify below) Creative Dramatics (specify) Dance (specify below) Yrs COUNSELING / TRAINING Yrs FACILITY MANAGEMENT Yrs DISABILITY EXPERIENCE Team Building Facility Use Coordination Mental / Emotional Drug / Alcohol Abuse Computer Reservation System Children Gang Awareness / Prevention Customer Service / Reception Teens Conflict Resolution Recreation Center Monitoring Adults Anger Management Maintenance/Facility Safety Physical Cultural Diversity Programs Sports Complex / Field Coord. Children Mentoring Sports Marketing Teens Adults Sign Language Please check the boxes for which you have had work experience targeted for any of the work groups below. Preschool: ages 3-5. Youth: ages 6-12 Teens: ages 13-19 Adults For Official Use Only: Date Received: Senior Citizens General: all types Physically Challenged Emotionally Challenged Please indicate the number of hours per day, for each day, during each season that you are interested in working. Please number each area of the city for which you have a preference to work, with one (1) being the mos t desirable. Mon Tue Wed Thu Fri Sat Sun Spring Northwest West Summer Northeast Central City-East Fall South Central City All Year Special Operations Youth Development Rev. 2/1/06