The City of Chesterfield is an Equal Opportunity Employer. We do not discriminate in employment based on race, color, religion, gender, pregnancy, sexual orientation, gender identity, age, national origin, ancestry, citizenship status, disability (physical or mental), genetic information, military service, or another non-merit factor. These protections extend to all management practices and decisions, including recruitment and hiring practices, appraisal systems, promotions, training, and career development programs. Position(s) Applied For Note: Employment for the Lifeguard position is conditional upon passing the Lifeguard training. Name First Name MI Last Address Street City State Phone E-mail Parent Cell Parent Email Date Available From Date Available To Can you work at least 19 hours a week during the dates you are availables for hire? Yes No Do you have a relative working for the City of Chesterfield? Yes No If yes, what is their name? Have you worked for the City of Chesterfield before? Yes No The City will make a good faith effort to provide reasonable accommodation to an otherwise qualified candidate who applies for a position or employee who can perform the essential job duties unless such accommodation would impose an undue hardship on the operation of the City. Applicants requiring disability-related accommodations should request them in advance. To the best of your knowledge, would you be able to perform all the essential functions of this position with or without reasonable accommodations? J-18808-Ljbffr