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SSN
Date of Birth
Age
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Years of Lifeguard Exp.
Are you currently Certified
Choose Option
Yes
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If Yes, Expiration Date for LGT
If yes, Expiration Date for CPR
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Position Applying for
Manager/Hear Lifeguard
Lifeguard
Swim Instructor
Coach
Other
Asking Pay rate
Reliable Transportation
Choose Option
Yes
No
Please mention the dates available for work
Start Date
End Date
Past Experience
Where have you lifeguarded in the past?
How did you hear about our company?
Please list three (3) friends and their phone numbers that may be interested in working with Aquatic Management Inc.
Name
Phone
Name
Phone
Name
Phone
Please list two (2) previous employers
Most Recent Employer
Hourly Rate
Manager
Phone
Start Date
End Date
Next Recent Employer
Hourly Rate
Manager
Phone
Start Date
End Date
Please list two (2) personal references
Name
Phone
Name
Phone
Emergency Contact Details
Name
Phone
Please fill only the letters in bold
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