YOUNG WATER AMBASSADORS PROGRAM

Young Water Ambassadors Program

Please fill out the application carefully. Please enter NONE or N/A if a field does not apply to you.
Personal Information
Are You a Student*

YesNo
Are you currently 16 years old or older? Or will you be 16 years old on or before June 1st?*

YesNo
Student's t-shirt size*

SMLXL2X3X4X
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long have you lived at the above address?*
Phone Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail*
Social Security Number*
Have you ever been convicted of a crime or violation other than a minor traffic offense?*

YesNo
If yes, please explain
Parent/Legal Guardian's Full Name
Parent/Legal Guardian's Phone Number

Area CodePhone Number
Parent/Legal Guardian's Email Address
example@example.com
Education & Training

Also include schools attended while in Military Service

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Please list any abilities, skills, and qualifications which you have and believe might be useful in employment with us. (i.e. typing skills and speed, knowledge of computer software or programs, etc).
Americans with Disabilities Act: Would you need a special accommodation to perform any task? If yes, what accommodations?
Have you ever worked for our company before? If yes, please provide the position and date(s).
Employment History

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List References (Students, please provide the names of 3 school references - teachers, counselors or principal.).
Do you have a parent (mother, father, step-mother, step-father) employed with our company? If yes, please provide the name of parent.*
Date

MonthDayYear
Please tell us why you want to work in the Young Water Ambassador Program (minimum 100 words)*
Enter the message as it's shown*
MonthDayYear
Should be Empty:

Young Water Ambassadors Program