Lifeguard Application
For Employment
Applicant's Name
*
First Name
Last Name
E-Mail
*
Phone Number
*
-
Area Code
Phone Number
Years of Lifeguard Experience
*
Do you have personal transportation?
*
Yes
No
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EMPLOYEMNT REFERENCE 01
*
Rows
_______________________________________________
COMPANY NAME
SUPERVISORS NAME
PHONE
EMAIL
YEARS EMPLOYED
EMPLOYEMNT REFERENCE 02
Rows
_______________________________________________
COMPANY NAME
SUPERVISORS NAME
PHONE
EMAIL
YEARS EMPLOYED
EMPLOYEMNT REFERENCE 03
Rows
_______________________________________________
COMPANY NAME
SUPERVISORS NAME
PHONE
EMAIL
YEARS EMPLOYED
Tell us more about yourself!
*
Copy of your Lifeguard Certification (Front & Back)
*
Browse Files
Cancel
of
Copy of your CPR Certification (Front & Back)
*
Browse Files
Cancel
of
Proof of car insurance (Front & Back)
*
Browse Files
Cancel
of
Copy of Driver's License
*
Browse Files
Cancel
of
Submit
Should be Empty: