Litter Crew Member Employment Application

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COUNTYWIDE SOLID WASTE PROGRAMS
of Douglas County
140 19th St N.W. East Wenatchee, WA 98802
Ph (509) 886-0899 Fax (509) 884-5350
SUMMER YOUTH LITTER CREW MEMBER APPLICATION
2015
APPLICATION DEADLINE
May 28, 2015
The Douglas County Solid Waste Advisory Committee (SWAC), in conjunction with the
Countywide Solid Waste Program Office, has established a Countywide Litter Control Program.
The purpose of this Countywide Litter Control Program is to provide summer employment
opportunities to students of Eastmont High School, as well as increase the students’ awareness of
the need for waste reduction, recycling and litter control. Additionally, the Countywide Litter
Control Program is intended to recover and recycle, to the maximum extent possible, all roadside
waste materials related to litter and littering.
PLEASE READ CAREFULLY:
Applicants must meet all of the following requirements in order to be considered for
summer employment.
Applicants: Must be 14-18 years old and a full time student at a Chelan or Douglas County
school on the first day of employment.
Availability: Must be available to work a full work session. Camps and vacations will be a
consideration when selecting applicants and the time must be conveyed in the application.
Social Security Card: Must have a current Social Security card at the time of application.
Proof of Right to Work: Must provide documentation of either your United States citizenship
or your legal right to work in the United States at the time of application.
Complete Applications: Student must fill out Litter Program Application as well as a Douglas
County Employment Application. All applications for employment must be legible, complete
and signed in blue ink. Incomplete or unreadable applications will not be accepted.
References: Must provide and attach two signed School Reference Forms.
Interviews: All applicants must successfully complete an oral interview. Failure to participate
in the oral interview will disqualify the applicant from consideration for this season.
HIRING PROCEDURE:
Summer Litter Crew Member Applications and Douglas County Employment Applications
must be legible, complete, signed in blue ink, accompanied by two signed School Reference
Forms, and be mailed or delivered before the May 28th deadline.
No faxed or e-mail applications will be accepted. Once your application is determined to be
complete the Countywide Solid Waste Office will screen those applicants which they believe
should be interviewed for a possible summer litter crew member position. The screened
applicants will be notified when they are scheduled for an interview. It is required that all
screened applicants participate in the interview process. Hiring will be based on the
interview results. All selected summer litter crew members will be notified by the Countywide
Solid Waste Program Office as to when and where to report for work. All notified summer litter
crew members must notify the Countywide Solid Waste Program Office that they agree to work
the full work session and report to work on the date specified. All summer litter crew member
positions are temporary and are only for the duration of the work session.
Completed applications may be dropped off Monday – Friday, 8a.m.-5p.m., or mailed to Angela
Davis Collie, Douglas County Human Resources, 140 19th St. N.W., E. Wenatchee, WA 98802.
This summer youth program is made possible through the Waste Reduction, Recycling and Model Litter Control Act.
It is funded through the Washington State Department of Ecology Community Litter Control Program.
COUNTYWIDE LITTER CONTROL PROGRAM
Summer Litter Crew Member Application
IMPORTANT
We ask that each applicant, not parents or guardians, nor school counselors, fill out the
attached Summer Litter Crew Member Application. Applications will not be accepted after the
May 28th deadline! No faxed or e-mail applications will be accepted. For more information
concerning this summer employment opportunity, please call Countywide Solid Waste at 8860899.
Please type or print LEGIBLY in blue ink and fill out both sides of this form!
Name:
(Last)
(First)
(Middle)
Address:
(City)
(State)
Date of Birth:
(Zip Code)
Home Phone:
(month/day/year)
Dates Available for employment:
From:
To:
How did you learn of this job opportunity?
Have you ever been convicted of a misdemeanor?
Yes:
No:
IN AN EMERGENCY CALL:
Name:
(Last)
(First)
(Middle)
Address:
(City)
(State)
Home Phone:
Work Phone:
Message Phone:
Cell Phone:
Relationship: (parent/guardian)
(Zip Code)
EDUCATION:
School Name:
Current Grade Level:
EMPLOYMENT: List in order, present or last position first.
Last/Present Employer:
Address:
(City)
(State)
Supervisor:
(Zip Code)
Phone:
Position Held:
Hours Worked per Week:
From:
To:
(month/year)
(month/year)
Specific Duties:
Employer:
Address:
(City)
(State)
Supervisor:
(Zip Code)
Phone:
Position Held:
Hours Worked per Week:
From:
To:
(month/year)
Specific Duties:
(month/year)
FILL OUT THE FOLLOWING COMPLETELY
Are you a former summer litter crew member? Yes:
No:
If you have skills or experience gained through volunteer work, community projects, service or
church organizations, please describe here. Give dates and nature of the project or organization.
Special Skills or capabilities that might relate to this employment opportunity:
Hobbies, interest, school activities involved in:
REMINDER: When submitting this application, be sure to attach your two completed
School Reference Forms and sign your name below in blue ink!
I certify that the information that has been provided on this application is true and complete to the best of my
knowledge. I understand that any false or misleading information may result in the rejection of my application or
my termination if employed.
SIGNATURE OF APPLICANT:
Date:
COUNTYWIDE LITTER CONTROL PROGRAM
School Reference Form
NAME OF STUDENT APPLYING:
Instruction to Student:
Before submitting this form with your Summer Litter Crew Member Application double check to
make certain that it has been signed and dated by your school reference (teacher, counselor,
administrator or coach). Two School Reference Forms are required for your application to
be considered complete.
The Countywide Litter Control Program is a youth employment program administered by the
Countywide Solid Waste Program Office. The program is open to all students in Douglas and
Chelan County schools who are between the ages of 14 and 18. Students are paid an hourly
wage to work on projects related to roadside litter and littering. A team of four crew members is
led by an adult supervisor.
The ideal candidate for employment is honest, hardworking, reliable and a team player. The
above student is applying for a position with this program, and part of the application process is
to have a teacher, counselor, administrator or coach complete this reference form.
Please take a few minutes to evaluate the above student on the following points:
Has good attendance:
Completes assigned tasks:
Participates in a group setting:
Is self-motivated:
Gets along well with others:
Willing to follow the rules:
Displays leadership ability:
Always
O
O
O
O
O
O
O
Usually
O
O
O
O
O
O
O
Sometimes
O
O
O
O
O
O
O
ADDITIONAL COMMENTS:
Name of Evaluator:
Title:____________________________________________
Date:
Never
O
O
O
O
O
O
O
COUNTYWIDE LITTER CONTROL PROGRAM
School Reference Form
NAME OF STUDENT APPLYING:
Instruction to Student:
Before submitting this form with your Summer Litter Crew Member Application double check to
make certain that it has been signed and dated by your school reference (teacher, counselor,
administrator or coach). Two School Reference Forms are required for your application to
be considered complete.
The Countywide Litter Control Program is a youth employment program administered by the
Countywide Solid Waste Program Office. The program is open to all students in Douglas or
Chelan County schools who are between the ages of 14 and 18. Students are paid an hourly
wage to work on projects related to roadside litter and littering. A team of four crew members is
led by an adult supervisor.
The ideal candidate for employment is honest, hardworking, reliable and a team player. The
above student is applying for a position with this program, and part of the application process is
to have a teacher, counselor, administrator or coach complete this reference form.
Please take a few minutes to evaluate the above student on the following points:
Has good attendance:
Completes assigned tasks:
Participates in a group setting:
Is self-motivated:
Gets along well with others:
Willing to follow the rules:
Displays leadership ability:
Always
O
O
O
O
O
O
O
Usually
O
O
O
O
O
O
O
Sometimes
O
O
O
O
O
O
O
ADDITIONAL COMMENTS:
Name of Evaluator:
Title:_______________________________
Date:
Never
O
O
O
O
O
O
O
COUNTYWIDE LITTER CONTROL PROGRAM
Student Litter Crew Information
2015
Work Schedule:
Litter Program Begins
Litter Program Ends
July 1st
August 21st
Work Days/Hours:
Work Days
Work Day Begins
Lunch Break
Work Day Ends
Monday - Thursday
6:00AM
10:00AM – 10:30AM*
2:30PM
* estimated times depending upon travel time
Rate of Pay:
Litter Crew Member
$9.47 per Hour
Benefits:
Labor & Industry Insurance
FICA (Social Security)
Countywide Solid Waste Will Provide:
Long sleeved Work T-Shirt and Safety Equipment
Student must Provide:
Own Work Jeans – Jeans must:
*jean leg must fit completely over the top of ankle high work boots.
Jeans must not be:
*baggy
*holey
*bell-bottom *cuffed
*torn
*capris
Own Work Boots – Boots must be:
*ankle high *hard/thick soled
*frayed
*hip-hugger
*leather (no nylon)
Boots must not be:
*steel toed
*nylon uppers *mesh inserts *canvas
A sample of the correct type of boot will be available at the Orientation Meeting in June. Boots
may be purchased for a reasonable price at Walmart, Shopko, K-Mart, Target, etc.
We will perform a boot inspection on the first day of work.
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