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LIFEGUARD APPLICATION
*
Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone
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Cell phone
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Email
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Birthdate
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Emergency Contact #1: Name
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Phone number
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Relationship
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Emergency Contact #2: Name
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Phone number
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Relationship
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Year in high school/college (as of 6/1/2015)
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CERTIFICATIONS
(must have current lifeguard training to work)
Lifeguard expiration date
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Where taken?
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Food handlers expiration date
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Where taken?
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CPR certification date
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Where taken?
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Other Cert. Type
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Expiration date
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Where taken?
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JOB AVAILABILITY
What date are you available to start?
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Days you're available to work on a regular basis
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Times of the day you're available to work
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Afternoon Weekdays
Evening Weekdays
Afternoon Weekends
Evening Weekends
Previous lifeguard experience
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REFERENCES
Name
*
Relationship
*
Phone Number
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Name
*
Relationship
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Phone Number
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Name
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Relationship
*
Phone Number
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Thank you for submitting your application. Someone will be in contact with you. See the main page of the website for the pool schedule. Each lifeguard will need to have a food handlers permit. Lifeguards will rotate between watching pools and running the concession stand. Lifeguards will also have the option to work private parties from 8:30pm to 10:30pm and Mondays from 11am to 1pm.
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