Employment Application

Desired Position

Life Guard

Additional Options (if applicable)

Lesson Instructor

Desired Number of Hours Per Week (please specify if hours include lesson/coaching)

I was previously employed at CWSC

Personal Information

First Name

Last Name

Address Line 1

City

State

Zip Code

Home Phone

Cell Phone

Date of Birth

Age

Employment History

List last 3 employers or other references. Specify employer, friend or family.

Name

Company

Job Title

Please specify

Employer

Friend

Family

Address Line 1

City

State

Zip Code

Phone

Name

Company

Job Title

Please specify

Employer

Friend

Family

Address Line 1

City

State

Zip Code

Phone

Name

Company

Job Title

Please specify

Employer

Friend

Family

Address Line 1

City

State

Zip Code

Phone

Certifications

Lifeguard Training

Yes

Organization

Date

CPR

Yes

Organization

Date

First Aid

Yes

Date

Why do you want to be employed at Colony West Swim Club?

Please indicate days and times of availability throughout the summer. Include your available start date and end date for the season:

Certification

I hereby certify that the answers and other information on this application are true and correct and that I understand that any misrepresentation or conscious omission of facts on my part will be justification for dismissal, if employed.

Signature

Date