Springfield Ice Skating Rink

Department Name

Employement Application - Seasonal Employment

To complete the paper form, click here

Applicant Name *

Applicant Phone Number *

Applicant Address *

Applicant City

Applicant State *

Applicant Zip *

SSN *

Date of Birth *

Email Address *

High School Name

Grade Level

College Name

Grade Level

Position Desired (Can Check More Than One)

Office

Guard

Snack Bar

SKT Room

Currently Employed? *

Yes No

Present Employer

Position

Job Duties

If you are hired will you be employed at another job at the same time? *

Yes No

DUE TO A NEW SCHEDULE OUTLINE, WE WILL BE STRICT WHEN CONSIDERING YOUR AVAILABILITY - PLEASE LIST WHEN YOU WOULD NOT BE AVAILABLE

Explain *

Reference Name

Reference Phone Number

Please Use the Drawing Tool to Sign the Form in the Box Below

Signature

Application Date *