PR Rec Application

Application for Employment
Full Name*

First NameMiddle InitialLast Name
Date of Birth

MonthDayYear
Date
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Position(s) you are applying for:*

LifeguardCamp CounselorBuilding SupervisorSwim CoachHead Lifeguard
What is your uniform shirt size?

Adult SmallAdult MediumAdult LargeAdult X-LargeAdult 2XLAdult 3XL
For Lifeguard applicants, what size Guard suit are you?

F26F28F30F32F34F36F38M SmallM MediumM LargeM X-LargeM XX-Large
Are you employed at the present time?*

YesNo
If yes, name of current employer
Available start date:

MonthDayYear
Can you show your legal right to work in the US?*

YesNo
Have you ever been convicted of a felony or misdemeanor which resulted in imprisonment?*

YesNo
If Yes, Explain:
Resume Upload (Optional):
Education:
High School
School Name
Grade Completing this year
Are you a High School Graduate?*

YesNoStill Attending
College
Are you a College Graduate?*

YesNoStill Attending
Training or Certifications:
Personal References
Reference 1 (Not a family member)
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2 (Not a family memer)
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I certify that all statements made herein and on the enclosed resume are true and correct to the best of my knowledge. I authorize investigation of all statements herein recorded. I release from liability all persons and organizations reporting information required by this application.
Should be Empty:

Now create your own Jotform - It's free!Create your own Jotform

Application for Employment

Education:

Personal References