Form Center

2. Vernon Arena Application
4. ASC/City of Sioux Center
6. 770 7th Street NE, Sioux Center IA 51250
8. E-mail: asc@allseasonscenter.org
   Phone: (712) 722-4386

10. ---
12. Position Applying for:*

    1. Supervisor
    2. General Arena
    3. Sub
    4. Learn to Skate Instructor
    5. Other
14. Personal Data:
16. Name:*
17. SSN:*
19. Home Address:*
21. College Address:
23. Phone Number(s):*
25. Date of Birth:*
26. E-mail Address:*
28. Have you worked at the All Seasons Center in the past?*

    1. Yes
    2. No
30. Hours you would like to work this season:

    1. 10-20
    2. 20-30
    3. 30+
32. Training:
34. Do you have the following certifications? If yes, please provide a copy.
36. First Aid?*

    1. Yes
    2. No
37. date issued:
39. First Aid certification copy
41. CPR?*

    1. Yes
    2. No
42. date issued:
44. CPR certification copy
46. List any other specialized training you may have: (Please provide a copy of your current certifications)
48. Other certification copies:
50. 
    
52. Ice Season (September-March) Information:
54. First day you are available to work:*
56. Realistic estimate of your last day available to work:*
58. Would you be willing to work occasional Sundays?*

    1. Yes
    2. No
60. List your preferred hours of work:
62. Education:
64. High School:*
65. Year of Graduation:*
67. College:
68. Year of Graduation:
70. References:
72. Name, City, Telephone Number
74. Reference 1:*
76. Reference 2:*
78. Reference 3:*
80. 
    
82. Employee Questions:
84. In your own writing, please complete the following questions with a brief and honest answer.
86. Why do you want to be a Vernon Arena worker? What would make you a good employee?*
88. What personal strengths do you possess that will be beneficial to these position(s) applied for?*
90. Give at least 3 examples of how you would help your "team" out at the Vernon Arena.*

92. ---
94. Attention: By applying to work for the All Seasons Center/City of Sioux Center, you agree to adhere to all the policies and procedures that are included in the employee handbook and other facility operational guides. With submitting this form, you agree to be a reliable work source for the entire Vernon Arena ice season, consisting of all days, including Sundays and holidays, from Labor Day weekend to March.
96. Name:*
97. Date:*
Leave This Blank:


99. 1. Receive an email copy of this form.
100. Email address

     This field is not part of the form submission.

101. Submit Submit and Print

* indicates a required field