Instructor Application 2023

2023 Instructor Application

Thank you for your interest in being an ABP Lifeguard Instructor. Please fill out all sections. Thank you!
Personal Information
Legal Name*

First NameLast Name
Date of Birth*

MonthDayYear
Age (in January):*
Address*

Street Address

apartment/suite #

CityState

Zip Code
Email*
example@example.com
Mobile Phone Number*
Social Security #
Gender Identity

Parent/Emergency Contact Info
Please list all information for your emergency contact.
Contact person*

First NameLast Name
Phone Number*
Email*
example@example.com
Who is this person to you?*
If you selected other, please specify.
What is your relation to your emergency contact person?

EDUCATION
Highschool
What high school do/did you attend?*
Did you graduate?*
College/Trade School
Have you ever attended a college/trade school?*
What college/trade school do/did you attend?*
Please list the most recent
Did you graduate?*
Major/Trade In?*
Are there other colleges or schools that you would like to list?
What college/trade school do/did you attend?
Did you graduate?

Employment History
Did you work for A-Beautiful Pools in the previous summer season?*

YesNo
What Year were you certified?*
Have you been a lifeguard instructor before?*

References
Name*

First NameLast Name
Phone Number*
How do you know this reference?*
Would you like to list another reference?*
Name

First NameLast Name
Phone Number
How do you know this reference?

Miscellaneous
Do you have a vehicle readily for your use?*
Please list any certifications that relate to the position you are applying for.
Current Certifications
Please also list the expiration dates.
Please list any special skills or any additional info that you would like us to know about.
(Leadership experience, activity involvement, skills, etc.)
Should be Empty: