Kitsap County Public Works Summer Student Application

Kitsap County Public Works
An Equal Opportunity Employer

To be considered for the Summer Employment Program with Kitsap County Public Works you must be currently enrolled OR enrolled to attend in the fall (following your employment) with a college or vocational school. Answer all questions thoroughly. Please make sure you meet all the requirements.

Name
Email Address
High School Name
Home Address
City, State, Zip
Mailing Address
City, State, Zip
Your Phone
Message Phone
Date of Birth
Year of High School Graduation
Current year in School
College Attending
Major
Minor
Year you plan to graduate
Do you have a Flagging Card?
Do you have a First Aid Card?
Drivers License No.
Do you have a Social Security Card?

Type of work preferred: Indicate preference 1=highest, 7=least, blank=not interested; use each number only once.

Road Maintenance/Flagging

Sign Shop Maintenance

Survey and Engineering

Surface and Storm Water Labor

Construction Inspection Labor

Pavement Management

Clerical

Work Availability: Specific Starting Date
Specific Ending Date
Will you be able to work a minimum of 480 hours (approximately 12 weeks)?
Can you begin by the third week of June?
Will you require time off during employment? (i.e. ROTC, school, family)
Are you available for an interview?

Work experience: List most recent experience first, this may include work for pay, volunteer, or family.

Employer Name
Phone
Address
City State Zip
Employed From (date)
To
Supervisor
Description of Work:


Employer Name
Phone
Address
City State Zip
Employed From (date)
To
Supervisor
Description of Work:



How did you learn of this program?

By submitting this application:

I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment under the Kitsap County Public Works Summer Employment Program as may be necessary in arriving at an employment decision.
I understand that should investigation at any time disclose false or misleading information given in my application or be contained in further requests for information this may result in disqualification from employment or forfeiture of my position.
I understand that I am required to abide by all the rules and regulations of Kitsap County.

Today's Date: If you agree with the above statements, press Submit.