PR Rec Application

Application for Employment
Full Name *

First Name Middle Initial Last Name
Date of Birth

Month Day Year
Date
Phone Number *

Area Code Phone Number
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

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

Lifeguard Camp Counselor Building Supervisor Swim Coach Head Lifeguard
What is your uniform shirt size?

Adult Small Adult Medium Adult Large Adult X-Large
For Lifeguard applicants, what size Guard suit are you?

F26 F28 F30 F32 F34 F36 F38 M Small M Medium M Large M X-Large M XX-Large
Are you employed at the present time? *

Yes No
If yes, name of current employer
Available start date:

Month Day Year
Can you show your legal right to work in the US? *

Yes No
Have you ever been convicted of a felony or misdemeanor which resulted in imprisonment? *

Yes No
If Yes, Explain:
Resume Upload (Optional):
Education:
High School
School Name
Grade Completing this year
Are you a High School Graduate? *

Yes No Still Attending
College
Are you a College Graduate? *

Yes No Still Attending
Training or Certifications:
Personal References
Reference 1 (Not a family member)
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known *
Address *

Street Address

Street Address Line 2

City State / Province

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

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
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:

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Application for Employment

Education:

Personal References