City of Minnetonka

Position(s) applying for?

Williston Fitness Center

• Service Desk Attendant
• Land and Water Aerobics Instructor

Aquatics Programs

• Water Safety Instructors and Aides

You must state a preference for at least one position. Second and third choices are optional. If you are applying for more than one position, please list your top two or three choices, in case the first choice is already filled.

First choice:

Part-time or full-time?

Part-time:

Full-time:

Second choice:

Part-time or full-time?

Part-time:

Full-time:

Third choice:

Part-time or full-time?

Part-time:

Full-time:

First name:

Last name:

Address:

Apartment #:

City:

State:

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

ZIP Code:

Are you under the age of 16?

Yes:

No:

Are you under the age of 18?

Yes:

No:

Date of birth (if under 18):

Employment condition desired?

Seasonal:

Other:

Hours available to work:

Mornings

Afternoons

Evenings

Did you graduate from high school or receive a GED?

Yes:

No:

I am still in high school:

If in school or college, please list grade:

E-mail address:

Home phone number:

Cell phone number:

Other phone number:

Best time to call:

a.m.:

p.m.:

College Address (if applicable):

Apartment #:

City:

State:

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

ZIP Code:

Dates/times available for an interview:

I would like to work this many hours per week:

I am available to begin working (day/month):

I can work until (day/month):

Dates you cannot work (conflicts/vacations):

Other employer this summer:

Hours per week at other employer:

Days worked at other employer:

Please list past positions with Recreation Services (including years served):

If you are applying for an aquatics staff position, please describe your aquatic experience (i.e. swim team/club experience, teaching experience, etc.)

Aquatics experience:

Red Cross Community CPR or AHA Level B:

yes:

no:

Date received:

Expiration date:

CPR/Professional Rescuer or AHA Level C:

yes:

no:

Date received:

Expiration date:

Community First Aid and Safety:

yes:

no:

Date received:

Expiration date:

Infant/Child CPR:

yes:

no:

Date received:

Expiration date:

Adult CPR:

yes:

no:

Date received:

Expiration date:

Water Safety Aide:

yes:

no:

Date received:

Expiration date:

Water Safety Instructor:

yes:

no:

Date received:

Expiration date:

Lifeguard Training:

yes:

no:

Date received:

Expiration date:

Waterfront Module:

yes:

no:

Date received:

Expiration date:

Lifeguard Training Instructor:

yes:

no:

Date received:

Expiration date:

AED training:

yes:

no:

Date received:

Expiration date:

Other:

yes:

no:

Date received:

Expiration date:

Work experience

List previous employer including contact information

Employing firm:

Address:

Suite #:

City:

State:

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

ZIP Code:

Phone:

Supervisor:

Your title:

Length of employment:

What was your reason for leaving?

Work experience

List previous employer including contact information

Employing firm:

Address:

Suite #:

City:

State:

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

ZIP Code:

Phone:

Supervisor:

Your title:

Length of employment:

What was your reason for leaving?

Work experience

List previous employer including contact information

Employing firm:

Address:

Suite #:

City:

State:

AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

ZIP Code:

Phone:

Supervisor:

Your title:

Length of employment:

What was your reason for leaving?

Job relevant volunteer and unpaid work experience

Do not provide dates for experience that occured more than five years ago.

Kind of volunteer activity?

Do not specify organization.

Major responsibilities:

Percent time per responsibility:

Number of hours per month:

Length of service:

Years—beginning date and ending date.

Job relevant volunteer and unpaid work experience

Do not provide dates for experience that occured more than five years ago.

Kind of volunteer activity?

Do not specify organization.

Major responsibilities:

Percent time per responsibility:

Number of hours per month:

Length of service:

Years—beginning date and ending date.

Have you ever been convicted as an adult for a criminal or moving traffic violation?

Have you ever been convicted?

Yes:

No:

You may answer “No” to this question if the conviction or criminal records thereof have been annulled, expunged, sealed, set aside, or purged, or if you have been pardoned pursuant to law. Information concerning this question will not be used to automatically bar you from employment, but may be used to direct your interest to areas less related to the area of conviction. If the answer to the above question is yes, please give full particulars below.

If you answered “Yes” to the question above, please explain:

Explanation:

Equal opportunity employer

The city does not discriminate on the basis of race, color, creed, national origin, sex, religion, age, disability, affectional preference, marital status, political affiliation or belief, or status with regard to public assistance in employment. Accommodations will be provided, upon request, to allow individuals with disabilities to participate in the application process for any job openings.

Notice to applicant

• The infomation that you are asked to provide in this application is classified as either public or private by Minnesota law. The public information is available to anyone who asks for it. The private information is available only to you, someone you have authorized, city staff who have a need to know it, and other state and federal agencies who have a need to know it, such as the Internal Revenue Service and the Social Security Administration. Your name will remain private until you are a finalist for a position.
• All materials submitted in support of an application are normally retained with the application and are not returned.
• By submitting this online application, you are indicating that you understand that you may be rejected from consideration or dismissed from employment if in connection with this application you provide false information, fail to provide material information, or fail to provide required proofs.

Additional questions

We appreciate your interest in applying for a position with the city of Minnetonka. You will be contacted within two weeks. If you have additional questions, please contact Mary Axel at 952.939.8352 or lburns@eminnetonka.com.

Apply now: