Application for New Employment
Summer 2018 (Seasonal Only)

Name:                                                                                                                                             
Address:                                                                                                                                        
Phone #:                                             Date of Birth:                                                
School:                                                                       
Special Skills:                                                                           
______________________________________________________________________
                                                 
Have you been hospitalized during the past year?             (Y)              (N) 
(If yes, provide date and reason for hospitalization.)                                                                      

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IMPORTANT

L  The minimum age requirement for summer positions is 17 years of age by 1/1/2018.  ALL applicants UNDER 18 years of age MUST submit working papers with their applications. 
L  All applications must be submitted with proof of a physical exam performed no earlier than June, 2017.
L  All applicants are subject to Nassau County Civil Service approval.
L  Completed applications will be accepted beginning January 3, 2018. All applications must be brought into Village Hall. Consideration will be based on skills, experience and residency. 
L  Working papers, if applies, and proof of physical must be submitted with application and will not be accepted without same. 
L  Be aware that since the summer season is a short one, summer vacations will not be permitted. 

I have reviewed and agree to the above-mentioned requirements.	

_________________________________			__________________
Applicant=s Signature						Date 

	Contact Susan Walsh at Village Hall if you have any questions at 326-6300.