2. Parks & Recreation
   

   Incomplete Applications WILL NOT be considered. ONLY ORIGINAL APPLICATIONS ACCEPTED.
3. 
5. APPLICATION FOR LIFEGUARD or SUMMER POOL PROGRAM EMPLOYMENT - City of Port Arthur, P. O. Box 1089, Port Arthur, TX 77641-1089
   This Application may be submitted online, OR, returned in person, to the Port Arthur Recreation Office at 1308 9th Avenue. Positions Open Until Filled. ***The City of Port Arthur is an Equal Opportunity Employer***
7. Date:*
   Date:
9. Name*
10. Email Address
12. Address*
14. City*
15. State*
16. Zip Code*
18. Phone Number*
19. Last Four Digits of SSN XXX-XX-*
21. Date of Birth*
    Date of Birth
23. Have you ever worked in the Summer Recreation/Pool Program?*
    -- Select One --YesNo
25. If "Yes", where? Also enter the Supervisor's Name
29. Choose Highest Grade Completed:*
    -- Select One --123456789101112College 1College 2College 3College 4College Masters
33. If a student, school presently attending
    -- Select One --Memorial High SchoolSabine Pass High SchoolTekoa AcademyBob Hope/Hughen SchoolWoodrow Wilson Early CollegeLamar State College-Port ArthurOther
34. If your school is not listed, please type the name:
36. Do you teach?*
    -- Select One --YesNo
37. If you answered "Yes", please name the school:
39. Do you have relatives working for the City of Port Arthur, or serving on the City Council?*
    -- Select One --YesNo
40. If you answered "Yes", please give the name and relationship.
42. Do you have a valid Texas Driver's License?*
    -- Select One --YesNo
43. If you are under the age of 18, please check this box.

    1. I am under the age of 18
45. NOTE: All applicants under the age of 18 must have a Consent to Work Form signed by a parent/guardian, and notarized before a Notary Public before being considered for hire with the City of Port Arthur.
47. Name of Parent/Guardian:
49. Alternate Phone Number
53. Select the position for which you are applying:*
    -- Select One --LifeguardBasket AttendantPool CashierPool Maintenance
55. ** Lifeguarding credentials MUST be provided for copying
57. Do you have an American Red Cross Lifeguard Certificate?
    -- Select One --YesNO
59. If answering "Yes", please check below the type of certificate you hold:

    1. Bacic Lifeguarding
    2. Lifeguard Training
61. If answering "No", from which organization do you hold a lifeguard certificate?
63. ** ALL lifeguarding certifications will be verified through the facility which granted them. **
65. Will you be able to work until this job is terminated?*
    -- Select One --YesNo
66. If "No", what dates are you unable to work
    If "No", what dates are you unable to work Start Date

    —

    If "No", what dates are you unable to work End Date
    If additional dates are requested, please on the next line.
68. Other dates requested:
70. List Extracurricular Activities in which you participate:
72. I certify that all of the preceding statements in this application are true. Any False statement in this application shall be sufficient cause for rejection or dismissal at any time. The use of this online application does not indicate that any positions are open and does not in any way obligate the City of Port Arthur. I also understand that this is temporary employment for this summer season and is for approximately six (6) to nine (9) weeks, only.*

    1. I Agree
74. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date. Applications NOT SIGNED will not be considered.

    1. I Agree
76. Electronic Signature*
78. Disclosure and Release Form
    Disclosure and Release

    1. Complete this form. 2. Save the form to your desktop. 3. Upload the completed form from your desktop using the "BROWSE" button. 4. Proceed to the next section.
79. Disclosure and Release Form*
    Upload the completed Disclosure and Release form here.
81. Background Release DPS
    Background Release DPS

    1. Complete this form. 2. Save the form to your desktop. 3. Upload the completed form from your desktop using the "BROWSE" button. 4. Save and submit the application.
82. Background Release Form DPS*
    Upload the completed Background Release Form here.
Leave This Blank:


84. 1. Receive an email copy of this form.
85. Email address

    This field is not part of the form submission.

86. Submit

* indicates a required field