Employment Application

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Thank you for your response. ✨

Full Name

Street Address

City

State

Zip Code

Phone Number

Will you be at least 16 years of age on June 1?

What position are you applying for?

Is there a specific location you prefer to work at?

Are you able to work at multiple locations if required by the position?

If offered employment, what date are you available to START work? (YYYY-MM-DD)

If offered employment, what is the LAST date you can work? (YYYY-MM-DD)

If offered employment, what dates are you UNAVAILABLE for work during the date range entered above? (Vacation, School Commitment, Other Work Commitments, Camps, Etc.)

Can you provide proof of legal employment authorization and identity?

Have you been convicted of a crime in the last 7 years?

If yes, please explain (a conviction will not automatically bar employment).

Educational History

Do you hold a CURRENT Lifeguard Certification? (Not Required for Interview)

Employment History - Current/Most Recent Job (Employer, Position Held, Supervisor Name & Title, Phone Number, Start Date, End Date, Job Summary, Salary, Reason for Leaving)

Employment History Job #2 (Employer, Position Held, Supervisor Name & Title, Phone Number, Start Date, End Date, Job Summary, Salary, Reason for Leaving)

Reference #1 Name

Reference #1 Phone

Reference #1 Email

Reference #2 Name

Reference #2 Phone

Reference #2 Email

Reference #3 Name

Reference #3 Phone

Reference #3 Email

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of the information contained in this application.