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2015 Employment Application Form

Position Applying for *
Name *

First

Last
Social Secrity Number *
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone Number *

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Cell Phone Number

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Birthdate *

MM
/
DD
/
YYYY
Email *
Confirm Email *

Education History

High School *
Graduated *
 Yes 
 No 
Year of Graduation *
or expected graduation
College
Graduated
 Yes 
 No 
Year of Graduation
or expected graduation

Employment History

Most Recent Employer
Employer Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Employer Phone Number

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May We Contact This Employer
 Yes 
 No 
Position and Duties
Dates of Employment
Starting and Ending Salaries
Reason for Leaving
Past Employer #2
Employer Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Employer Phone Number

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May We Contact This Employer
 Yes 
 No 
Position and Duties
Dates of Employment
Starting and Ending Salaries
Reason for Leaving

Certifications

Lifeguard Certification
Please list Issuing Agency and Expiration Date
CPR
Please list Issuing Agency and Expiration Date
First Aid
Please list Issuing Agency and Expiration Date

Emergency Contact

Emergency Contact Name *

First

Last
Relationship *
Emergency Contact Phone Number *

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Employment Availability

Are you able to work the weekend of Memorial Day thruogh Labor Day Weekend *
 Yes 
 No 
If No, Please specify the starting and ending dates you are available to work *
How many hours a week do you want to work? *
Do you have any Vacations Scheduled during the Summer?
Please specify dates
What Days are you Available to Work? *
Hold CTRL while clicking all that apply

Background History

How did you hear about us?
Have you ever been arrested or convicted of a crime? *
 Yes 
 No 
If Yes, please explain
Do you have a Driver's License? *
 Yes 
 No 
What are your means of transportation to Work? *

References

Reference #1 Name

First

Last
Reference #1 Phone Number

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Relationship and Years Known
Reference #2 Name

First

Last
Reference #2 Phone Number

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Relationship and Years Known

I acknowledge that the above information is true and correct to the best of my knowledge. *
 Yes 
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