Requirements: must be a good swimmer, must have intermediate conversational English, must be available to work weekends and Holidays. All the necessary training and Red Cross certification will be provided at no cost to the employees.

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How were you referred to us?

*Full Name (Last, First, Middle)

*DOB

*Social security #

*Do you have a valid driver's license?

Driver's license State and number

Other ID Number, if there is no Driver's License

*Present address

Permanent address, if different

*Phone #

*Email

*Are you a citizen of the United States?

Yes     No    

If no, do you have work permit?

Yes     No    

If you are under 18, can you furnish a work permit?

Yes     No    

If No, explain

*Position applied for

*Salary requirement

*Type of employment desired

Full-Time Part-Time Seasonal Temporary

*Date available to start

Last day available to work

*Days and Times available to work

*Have you ever applied for this company?

Yes     No    

If yes, when?

*Have you ever worked with this company?

Yes     No    

If yes, when and what was the reason for leaving?

*Do you have any medical conditions?

*Emergency Contact Name and Phone Number

*Have you ever pled guilty or no contest to or been convicted of a crime or felony? (Answering yes to these questions does not constitute an automatic rejection to employment )

Yes     No    

If yes, give dates and details

*Education History (Dates, School Names, Majors, Degrees)

*Employment History (Dates, Company Names, Managers' Names and Phone Numbers, Positions Held, Responsibilities, Reasons for Leaving)

Special Skills or Qualifications

Additional Comments

Attach any documents you wish to provide

*I certify, that my answers are true and complete to the best of my knowledge I authorize you to make such investigations and inquiries of any related matters as may be necessary for an employment decision

   

*Signature (Print Your Name)

*Today's Date

*required fields