Part-Time Ice Rink Attendants Wanted The City of Centerville will be accepting applications for Ice Rink Attendants until positions filled. Applicants must be at least 16 years of age, work well with the public, work evenings, weekends, holidays and able to perform light maintenance duties. Starting pay is $8.50 per hour. This is a seasonal position with no benefits. Apply at Centerville City Hall 1880 Main Street Centerville, MN 55038 (651) 429-3232 or download an application packet at www.centervillemn.com The City of Centerville is an AA/EOE.
Skate Park Attendant Position Description Department: Accountable to: Status: Parks and Recreation City Administrator/Parks and Recreation Chair Part-Time, Non-Exempt PRIMARY OBJECTIVE OF POSITION: Supervise the conduct of the individuals that are using the Skate Park facilities and equipment. Duties include, but are not limited to, light cleaning/maintenance of the warming house facility, skate park facility and equipment. Coordinate police and emergency services associated with facility. SUPERVISION RECEIVED: Works under the general guidance and direction of the City Administrator and the Public Works Department. ESSENTIAL DUTIES AND RESPONSIBLITIES: Sweeping, light cleaning and organization of warming house facility and restrooms Sweeping, light cleaning and organization of skate park rink and equipment Contact the Centennial Police Department upon unlawful activity, inappropriate conduct, etc. Contact emergency services if an injury occurs MINIMUM QUALIFICATIONS: Must be 16 years or older, reliable and responsible. WORK ENVIRONMENT: The work environment characteristics described here are representative of those employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SELECTION GUIDELINES: Formal application, rating of experience; oral interview and reference check.
The duties listed above are intended only as an illustration of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and the requirements of the job change. ON THE JOB CONDUCT: During the hours of employment, you will not be allowed to participate in the activity of roller blading, biking or skateboarding at the facility. Your primary responsibility is supervision of the facility and equipment.
DATE RECEIVED APPLICATION FOR EMPLOYMENT CITY OF CENTERVILLE 1880 Main Street Centerville, MN 55038 Main: (651) 429-3232 Fax: (651) 429-8629 www.centervillemn.com OFFICE USE ONLY Interview: Title of Position Applying For Date Available for Work Today s Date Employment Status Desired: Full-Time Part-Time Seasonal Temporary Last Name First Name Middle Name Social Security Number (Optional) Street Address City State Zip Code County Email Address: Home Phone: Work Phone: Other: ( ) - ( ) - ( ) - Are you a United States Citizen or legally eligible to work in the U.S.? Yes No (If hired, you will be required to provide documentation that you are eligible to work in the U.S.) Are you under 18? Yes No If Yes, list birth date: / / Are you willing to work over time? Yes No Have you been previously employed by the City of Centerville? Yes No If yes, list date(s) and position(s) held: Do you have any relatives working for the City of Centerville? Yes No If Yes, list names and relationship to you: Did you graduate from high school or receive a GED? Yes No High School Name & Location: Type of School Name & Location Major Degree, Certificate or Credits Earned College/University College/University Graduate School Technical/Vocational Other Driver s License Number State Expiration Date Class: A B D CDL List any endorsements: WORK EXPERIENCE: List complete employment history, beginning with most recent first. Include paid and unpaid experience.
WORK EXPERIENCE: List complete employment history, beginning with most recent first. Include paid and unpaid experience. DO NOT USE SEE RESUME OR SIMILAR. Attach additional sheets, if needed. Employer Phone ( ) Address Supervisor s Name Supervisor s Title Your Job Title Specific Duties Dates Employed (Mo/Yr) From To Total (Yr/Mo) Hours Worked Per Week Last Salary Reason for leaving or seeking other employment May we contact this employer? Yes No If No, please indicate reason Employer Phone ( ) Address Supervisor s Name Supervisor s Title Your Job Title Specific Duties Dates Employed (Mo/Yr) From To Total (Yr/Mo) Hours Worked Per Week Last Salary Reason for leaving or seeking other employment May we contact this employer? Yes No If No, please indicate reason Employer Phone ( ) Address Supervisor s Name Supervisor s Title Your Job Title Specific Duties Dates Employed (Mo/Yr) From To Total (Yr/Mo) Hours Worked Per Week Last Salary Reason for leaving or seeking other employment May we contact this employer? Yes No If No, please indicate reason Employer Phone ( ) Address Dates Employed (Mo/Yr) From To
Supervisor s Name Supervisor s Title Your Job Title Specific Duties Total (Yr/Mo) Hours Worked Per Week Last Salary Reason for leaving or seeking other employment May we contact this employer? Yes No If No, please indicate reason KNOWLEDGE, SKILLS AND ABILITIES SECTION Typing Ability: Yes No WPM Speedwriting Ability: Yes No WPM Dictation Experience: Yes No Computer Experience: Yes No If Yes, please list computer software programs and hardware you are skilled with. List other office equipment you can operate. List any special courses, seminars, workshops and/or training you attended that relate to the job you are applying for. If relevant, list other registrations, licenses or certificates you have. Type: Date Issued: Date Expires: Type: Date Issued: Date Expires: For Labor & Skilled Trades Only List the equipment you are capable of operating: This space can be used to add any additional information you deem relevant to better assess your suitability for the position applied for: CONVICTION INFORMATION: No person shall be disqualified from public employment solely or in part because of prior conviction of a crime or crimes, unless the crime or crimes for which convicted directly relate to the position of employment sought. In determining the effect of a conviction, the City shall consider the requirements of Minnesota Statutes, Chapter 364. Applicants who are finalists for certain positions will be subject to a criminal background investigation. Have you ever been convicted as an adult for a criminal violation? Yes No If yes, please complete the following for each offense. Nature of Offense Date of Offense and Location Disposition Nature of Offense Date of Offense and Location Disposition
MILITARY SERVICE: Branch of Service: Period of Active Duty: From To Rank at Discharge: Type of Discharge: Date of Final Discharge: Describe your duties and any special training: VETERAN S PREFERENCE POINTS: Preference points are awarded to qualified veterans and spouses of deceased veterans to add to their application results. Points are awarded subject to the provisions of Minnesota Statute 43A.11. To be eligible for veteran s preference points you must: (1) Be separated under honorable conditions from any branch of the armed forces of the U.S. after having served on active duty for 181 consecutive days or by reason of disability rated at 50% or more, incurred while serving on active duty, and be a citizen of the U.S. or resident alien; or be the surviving spouse of a deceased veteran or the spouse of a disabled veteran who because of the disability is not able to qualify; AND NOT be currently receiving or eligible to receive a monthly veteran s pension based exclusively on length of military service. The information you provide on this form will be used to determine your eligibility for veteran s preference points. You are not required to supply this information, but we cannot award veteran s points without it. You must supply a copy of your DD214. Disabled veterans must also supply form FL-802 or an equivalent letter from a Service Retirement Board. Spouses applying for preference points must supply their marriage certificate, the Veteran DD214 and FL- 802 or death certificate. ARE YOU APPLYING FOR VETERAN S PREFERENCE POINTS? YES NO If yes, your DD214 or other supporting documentation must be received no later than five (5) calendar days after the application deadline. PREFERENCE REQUESTED: Veteran (5pts) Disabled Veteran (10pts) Spouse of Disabled or Deceased Veteran (5pts) Are you receiving or eligible for a military pension? Yes No Do you have a service-related disability? Yes No ( %) REFERENCES: Please list 3 references (not relatives), who have known you for at least one (1) year, who can attest to your work qualities. Name Relationship to You Occupation Telephone Number NOTICE TO APPLICANT: Information requested on your application that is defined by Minnesota Statute as public may be released on request and other information defined by Minnesota Statute as private may be released only to you or to governmental entities authorized access by law. NAME/SOCIAL SECURITY NUMBER (SSN): Used to identify you in relation to other applicants. You are legally required to provide your name, but not your SSN. Failure to provide this information may result in a delay in processing or rejection of your application. LICENSE INFORMATION: Used to certify applicants for positions where State law requires appropriate license. You are legally required to provide this information. Failure to provide this information may result in rejection of your application. CITIZENSHIP STATUS: Used to certify applicants for work in the U.S. as determined by laws of the U.S. Department of Labor and the State of Minnesota. Failure to provide this information may result in rejection of your application. Minnesota Statute Section 518.6111, requires employers to obtain information from all new employees regarding court-ordered child support obligations that are required by law to be withheld from income. If hired, you will be required to provide such documentation. Failure to provide said documentation will result in dismissal. In accordance with the Immigration Reform and Control Act of 1986, the City of Centerville hires only U.S. citizens and lawfully authorized alien workers. If hired, you will be required to provide written documentation of citizenship or legalized alien program. Failure to provide said documentation will result in dismissal. If you are hired for this position, you may be required to undergo a physical examination at the employer's expense to determine whether or not you are able to perform the duties of this position in an effective and safe manner, and whether or not accommodations are necessary for you.
APPLICANT S STATEMENT I certify that I have read the Notice to Applicant regarding the Minnesota Data Practices Act, and understand my rights as a subject of data. I authorize that a transcript may be requested where necessary to verify any education record. I hereby expressly authorize the collection, use and release of any and all information concerning me, which relates to my employment. I hereby release the City of Centerville, with which I am seeking employment, from any liability which may result from releasing information requested. I also expressly authorize the release by my present and past employers, including its agents/employees of any and all information concerning my employment with them, in any form, oral or written, and I agree to hold harmless my present and past employers from any liability whatsoever arising out of its release of information pursuant to this release. I understand that if offered a position, I must submit to and pass a drug screen and depending on the position, may be required to submit to and pass a psychological examination, a physical examination and/or a physical agility test. I hereby certify that all answers contained in this application are true and I agree and understand that any misrepresentation or omission of facts contained in this application will be grounds for disqualification for employment or in the event of employment, dismissal from employment upon discovery of the information. By signing this form I hereby acknowledge I have read and understood the above statements. Failure to sign this form may result in rejection of your application. Signature of Applicant Date
APPLICANT DATA RECORD The City of Centerville is an Equal Opportunity Employer in its recruitment and procedures. Applicants are considered for all positions, and employees are treated during employment without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap. As an employer/government contractor, we comply with government regulations and affirmative action responsibilities. Solely to help us comply with State and Federal record keeping, reporting and other legal requirements, please complete the Applicant Data Record. Periodic reports are made to the government using the following information. This form will be filed separate from your application and it will not be used in our recruitment evaluation process. The following information is requested for reporting purposes only. Please note that your cooperation in providing the following data is voluntary and inclusion or exclusion of data will not affect any recruitment selection decisions. We appreciate your cooperation. Refusal to provide this information will not disqualify you from present or future employment or adverse treatment. Title of Position Applying For: Today s Date Date of Birth (mo/day/yr): / / Age: Sex: Female Male Please check one of the following: White (non-hispanic) Black or African American Hispanic or Latino Asian or Pacific Islander American Indian or Alaskan Native Other Please check if any of the following are applicable: Disabled Individual Veteran Disabled Veteran Spouse of Disabled or Deceased Veteran REFERRAL SOURCE How were you made aware of this employment opportunity? Internet (specify site): Newspaper (Specify paper): Employment Agency (List name): Employee Referral (Provide name): Community Agency Referral (specify name): Walk-In City of Blaine Job Line Other Source: THIS FORM WILL BE SEPARATED FROM YOUR APPLICATION FORM.
City of Centerville Employment Application Instructions General Information IMPORTANT! You must complete all parts of the application. Read the job announcement carefully before completing the application materials. Announcements may contain special instructions & requirements. Submit a separate application for each job. Type or print clearly in dark ink. Legibly photocopies are accepted. We cannot be responsible for failure of other agencies or postal services to forward applications by the deadline. Applications will not be accepted past the application deadline as listed on the job announcement. If your application is incomplete or does not clearly show the experience and/or training required, your application will be rejected. Resumes may be submitted with the application but not in lieu of a completed application. For position applications that require the completion of a supplemental application, your score will be determined by an evaluation of the job related experience and training you describe on the application form and the supplemental application form. Be complete. Your application and all attachments become the property of the City of Blaine and will not be returned. Keep a copy of your completed application. Important Facts About Information On Your Application This application is to assist in the process of referring you for possible employment. Certain information requested on the application is private; that is, it may be released only to you or to agencies where you may be considered for employment (to comply with M.S. 13.43, Subd. 2). If you become employed by the City, the data will be available to the Department of Finance, the Internal Revenue Service, and the Social Security Administration for payroll and tax purposes. If you disagree with the data we have about you, notify the Human Resources Director by letter. Private Data Social Security Number Name Date of Birth (When requested on a separate form) Why We Ask For It To distinguish you from all other applicants and to make processing more efficient. To distinguish you from all other applicants. To conduct a check of criminal records for certain positions. Are You Legally Obliged to Provide It? No Yes No What May Happen If you Do Not Provide It In most cases, nothing. However, it will help to ensure that your records are not confused with others. Failure to provide information may be cause for rejecting an application. Failure to provide information may be cause for rejecting an application. Address To be able to send you notices. Yes Failure to provide information may be cause for rejecting an application. Home Telephone Number Sex, Racial/Ethnic Group, Handicapped Status, Veteran Status (This information is requested on a separate form) Conviction Record To be able to contact you to determine availability for interview and to notify you when we need you to work on short notice. To be able to make Equal Opportunity reports as required by law. To determine whether we may legally accept an application from you and to determine whether your record may be a job-related consideration. No No Yes We may not be able to employ you in certain jobs where you may be required to come to work on short notice. We will not be able to determine whether our selection processes result in unfair discrimination, or to take affirmative action in our hiring. We will not be able to make determinations required by law. Failure to provide relevant conviction information may be grounds for dismissal. ALL OTHER INFORMATION ON THE APPLICATION IS PUBLIC; THAT IS, IT MAY BE GIVEN TO ANYONE FOR ANY PURPOSE