| Name |
|
| Address |
|
| City |
|
| State |
|
| Zip |
|
| Phone |
|
| Cell Phone |
|
| Email |
|
| Social Security Number |
|
| Position Applying For |
|
| Lifeguard Cert Expiration |
|
| CPR Cert Expiration |
|
| Previous Lifeguard Experience |
|
| Swim Lesson Experience |
|
| Pool Maintenance Experience |
|
| Will You Work 4th of July? |
|
| Will You Work Until Aug 20? |
|
| Will You Work Through Labor day? |
|
| Have You Been Charged With A Felony? |
|
| Will You Submit To A Drug Test? |
|
| Last Day Of Work |
|
| High School |
|
| Reference 1 |
|
| Reference 2 |
|
|
|
| |
|
|
