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The Town of Hague is currently accepting applications for Certified Lifeguards for the 2026 Season. Submit applications by email to: Secretary@HagueNY.gov or mail to:

Town of Hague Community Center, Attention: Emily, PO Box 509, Hague, NY 12836 by June 1st, 2026. 







To apply, either fill out the form below or download the PDF to hand deliver / mail in:


Download PDF Form



 


Town of Hague: Employment Application form












		
		
	
    
*Required


  

  
Applicant Information

  


  

	  *Last Name:

			
		
    

    
  

	  *First Name:

			
		
    

    
  

	  *Middle Name:

			
		
    

    
  

	  *Street Address:

			
		
    

    
  

	  *City/Town, State, Zip Code:

			
		
    

    
  

	  *Phone Number:

			
		
    

    
  

	  Email Address:

			
		
    

    
  

	  *Position Applying For:

			
		
    

    
  

	  *When Are You Available to Start Working?:

			
		
    

    
  

  
Education
Please use the fields below to indicate all schooling.

  


  

	  *Type of School:

        	
		
    

    
  

	  *Name of School & Location:

			
		
    

    
  

	  *Dates Attended:

			
		
    

    
  

	  *Major/Degree:

			
		
    

    
  

	  Type of School:

        	
		
    

    
  

	  Name of School & Location:

			
		
    

    
  

	  Dates Attended:

			
		
    

    
  

	  Major/Degree:

			
		
    

    
  

	  Type of School:

        	
		
    

    
  

	  Name of School & Location:

			
		
    

    
  

	  Dates Attended:

			
		
    

    
  

	  Major/Degree:

			
		
    

    
  

	  Type of School:

        	
		
    

    
  

	  Name of School & Location:

			
		
    

    
  

	  Dates Attended:

			
		
    

    
  

	  Major/Degree:

			
		
    

    
  

  
Work Experience
Please list your last three jobs, beginning with the mos recent job held.

  


  

	  *Name of Employer:

			
		
    

    
  

	  *Street Address:

			
		
    

    
  

	  *Phone Number:

			
		
    

    
  

	  *Employment Start Date:

			
		
    

    
  

	  *Employment End Date:

			
		
    

    
  

	  *Your Last Job Title:

			
		
    

    
  

	  *Name of Last Supervisor:

			
		
    

    
  

	  *Reason for leaving (be specific):

			
		
    

    
  

  
  


  

	  Name of Employer:

			
		
    

    
  

	  Street Address:

			
		
    

    
  

	  City, State, Zip Code:

			
		
    

    
  

	  Phone Number:

			
		
    

    
  

	  Employment Start Date:

			
		
    

    
  

	  Employment End Date:

			
		
    

    
  

	  Your Last Job Title:

			
		
    

    
  

	  Name of Last Supervisor:

			
		
    

    
  

	  Reason for leaving (be specific):

			
		
    

    
  

  
  


  

	  Name of Employer:

			
		
    

    
  

	  City, State, Zip Code:

			
		
    

    
  

	  Street Address:

			
		
    

    
  

	  Phone Number:

			
		
    

    
  

	  Employment Start Date:

			
		
    

    
  

	  Employment End Date:

			
		
    

    
  

	  Your Last Job Title:

			
		
    

    
  

	  Name of Last Supervisor:

			
		
    

    
  

	  Reason for leaving (be specific):

			
		
    

    
  

  
  


  

  
Military Service

  


  

	  *Have You Ever Served In The Military? If yes, please fill out information below:

                

				
                

				
    

    
  

  
  


  

	  Date Entered:

			
		
    

    
  

	  Date Entered:

			
		
    

    
  

	  Military Branch:

			
		
    

    
  

	  Specialty:

			
		
    

    
  

  
References

  


  

	  *Name of Reference:

			
		
    

    
  

	  *Relationship To Applicant (i.e. supervisor, teacher, mentor, etc.):

			
		
    

    
  

	  *Reference's Address:

			
		
    

    
  

	  *Reference's Phone Number:

			
		
    

    
  

	  *Name of Reference:

			
		
    

    
  

	  *Relationship To Applicant (i.e. supervisor, teacher, mentor, etc.):

			
		
    

    
  

	  *Reference's Address:

			
		
    

    
  

	  *Reference's Phone Number:

			
		
    

    
  

	  *Name of Reference:

			
		
    

    
  

	  *Relationship To Applicant (i.e. supervisor, teacher, mentor, etc.):

			
		
    

    
  

	  *Reference's Address:

			
		
    

    
  

	  *Reference's Phone Number:

			
		
    

    
  

  
Drivers License Information
(If Required for Position)

  


  

	  License Number:

			
		
    

    
  

	  Licensing State:

			
		
    

    
  

	  *License Class:

			
		
    

    
  

	  *Expiration Date:

			
		
    

    
  

	  *Have You Ever Been Convicted of a Felony? (A Conviction Record Will Not Necessarily Disqualify You From Employment.):

                

				
                

				
    

    
  

  
  


  

  
  


  

  
  


  

	  *By Typing Your Full Name Below You Hereby Certify That The Information Contained In The Employment Application Form Above Is True And Complete To The Best Of Your Knowledge.:

			
		
    

    
  

	  *Please Type Your Full Name & The Date You Are Filling Out This Application Below To Serve as Your Signature.: