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?*

YesNo
Are you authorized to work lawfully in the United States for Woodberry Hills Swim Club?*

YesNo

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

Cancelof

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?*

YesNo
Job Title*
Responsibilities*
Are you still employed there?*

YesNo
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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