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Today's Date
First Name
MI
Last Name
Street Address
City
State
Zip
Home Phone
Cell Phone
SS#
Date of Birth
Age
Sex
--
Male
Female
Years of Lifeguard Exp. (
Must provide documentation of exp.
)
Email
College Address
City
State
Zip
College Phone
Asking Rate of Pay
$
Position Applying for (
Check all that apply
)
Lifeguard
Swim Instructor
Coach
Manager/Head Lifeguard
Other
Reliable Transportation
Yes
No
Dates Available to Work
Beginning Date
End Date
Name of school currenty attending (
if applicable
)
GPA
What grade/year are you?
Major (
if applicable
)
What outside commitments do you have?
What are your best Qualities?
What interested you the most about this position?
Are you a returning USA Lifeguard?
Yes
No
Where have you lifeguard in the past?
How did you hear about our company?
Are you or your family a member of a community pool? (Name of Community)
Please list four (4) friends and their phone numbers that may be interested in working for USA Pools:
Name
Phone
Name
Phone
Name
Phone
Name
Phone
Please list the two (2) last places of employment
Place of employment
Hourly Rate
Manager
Phone
Date of Employment
Place of employment
Hourly Rate
Manager
Phone
Date of Employment
Please list two (2) personal references
Name
Phone
Relationship
Name
Phone
Relationship
Emergency Notification (other than persons living with you)
Emergency Contact Number
Related Services:
Pool Construction And Management Service
Pool Renovations
Swimming Pool Construction
Swimming Pool Maintenance And Care
American Red Cross Lifeguard Training
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