Special Recreation Services Employment Application

Employment Application:

If you have already submitted an application within the past 6 months, you DO NOT have to re-apply. Please email office@specialrecreationservices.org to let administration know that you are interested. If something on this application does not pertain to you, please put N/A
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
County*
(Monroe, Pike, Carbon, etc)
Township/ Borough in which you pay local taxes*
(For example you live in Tannersville but your township is Pocono)
Phone Number*

Area CodePhone Number
E-mail*
Where did you see our job advertisement?*

IndeedFacebookOther
Are You a U.S. Citizen?*

YesNo
Are You legally eligible to work in the U.S?*

YesNo
Are You a U.S. Veteran?*

YesNo
If selected for a second interview you submit to a preliminary docket check. If selected for employment are you willing to submit to a background check and a drug test?*

YesNo
Do you understand that you need a vehicle with current inspection/car insurance/ registration*

YesNo
Employment Desired:
Position applying for:

Direct Support ProfessionalHuman Resources SpecialistInternship
Position Applying for:*

Direct Support Professional (DSP)InternshipPart Time Human Resources Specialist
Geographic area you prefer (this is for DSP applicants only):*

East Stroudsburg/StroudsburgMt. Pocono/TobyhannaKunkletown/Jonas/EffortTannersville/BartonsvilleCarbon CountyNorthampton CountyLehigh County (not currently available)Lackawanna/Luzerne County (not currently available)Wayne/Pike County(not currently available)Bucks County(not currently available)Montgomery County(not currently available)Not Applicable
Date You Can Start*

MonthDayYear
Hourly Salary Desired*
Employment desired?*

Part-TimeFull-TimeSummer/Temporary/Per Diem/Internship
Education:
High School*
Name of High School Attended
High School Address (City and State)*
Graduated?*

YesNoGED
College
Name of College/University Attended
Number of Years Attended
Graduated?

YesNo
Area of Study/Degree
Trade School/Other
Name of Trade/Technical/Other School Attended
Number of Years Attended
Graduated?

YesNo
Area of Study/Degree
Skills/Qualifications:
Skills
List any relevant skills
Please list any languages you speak besides English. Please include if you are trained in Sign Language.
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Current Employment:

If you have not been employed recently, please list any recent volunteer experience.
Current Employer/Most Recent Employer*
Name of Current Employer or NONE if not Employed
Position*
Job duties*
Reason for Leaving?*
Start Date*

MonthDayYear
May We Contact?*

YesNo
End Date*

MonthDayYear
Date
Supervisor's Name*
Supervisor's Phone Number*

Area CodePhone Number
Previous Employment:
Previous Employer*
Name of Previous Employer
Position*
Job Duties*
Reason for Leaving?*
Start Date*

MonthDayYear
End Date*

MonthDayYear
Supervisor's Name*
Phone Number*

Area CodePhone Number
References:

Do NOT include relatives or anyone that lives with you.
Reference 1*
Name of Reference
Relationship*
Occupation of Reference 1*
Name of Reference
Years Acquainted*
Phone Number*

Area CodePhone Number
Email
To send them a reference form to fill out
Reference 2*
Name of Reference
Relationship*
Occupation of Reference 2*
Name of Reference
Years Acquainted*
Phone Number*

Area CodePhone Number
Email
To send them a reference form to fill out
Reference 3*
Name of Reference
Relationship*
Occupation of Reference 3*
Name of Reference
Years Acquainted*
Phone Number*

Area CodePhone Number
Email
To send them a reference form to fill out
Cover Letter & Resume (Optional):
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

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Send Application:
Please read and electronically sign below: The information I have provided above is correct and truthful to the best of my knowledge. I understand that any false statements provided by me to Special Recreation Services in this application or interview could result in non-hiring or termination of my position. I also understand that filling out this application does not guarantee a position with Special Recreation Services.
Signature*

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Should be Empty:

Employment Application:

Personal Information:

Employment Desired:

Education:

Skills/Qualifications:

Current Employment:

Previous Employment:

References:

Cover Letter & Resume (Optional):

Send Application: