Employment Application

*Indicates Required Field
*Name
*Badge # (last 4 digits of SSN)
*Email Address
Age
*Phone
*Address
*City
*State
*Zip
Cell Phone
Position Desired
Area / Pool
*Certifications (expire dates)
All Positions are from Memorial Weekend through Labor Day (including July 4th) except coaching.
Fulltime       Parttime
List any schedule days/times that you will not be able to work between Memorial Saturday and Labor Day.
If you are a member of any pools, which one(s)
Former employers or character references if no prior work experience
1. Company Name
Phone
Supervisor
Position
2. Company Name
Phone
Supervisor
Position
Please list any physical impairment that may affect job
Security Code