WHSC Life Guard Application

Life Guard Application

Applicant Information
Name

First NameMiddle InitialLast NameSuffix
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Are you at 15 years old or older?
Are you authorized to work lawfully in the United States for Woodberry Hills Swim Club?

Certifications
Up to date certifications must be provided before opening day and be valid for the entire season.

Lifeguard Certification and First Aid & CPR/AED Certification is required.

Please use the option below to to attach copies of your certifications. Alternatively, you can email copies to swim@woodberryhills.com
Certifications

Browse Files

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References

Please provide two professional references.
Name

First NameLast Name
Relationship
Contact Phone Number

Area CodePhone Number
Company
Name

First NameLast Name
Relationship
Contact Phone Number

Area CodePhone Number
Company

Previous Employment
Company Name
Phone Number

Area CodePhone Number
Supervisor's Name

First NameLast Name
May we contact them for a reference?
Job Title
Responsibilities
Are you still employed there?
Start Date

MonthDayYear
End Date

MonthDayYear
Reason for leaving

Availability
Please list any planned vacations or activities that will require your time. Include days/dates and/or times.

I certify that my answers are true and complete to the best of my knowledge. If this applications leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Please verify that you are human
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