If you are interested in working as a lifeguard / swim instructor, please fill out following.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Birth Date

YYYY

Cell Phone

(###)

###

####

Explain why you want to work at a pool for the summer.

List any water experience you have had - swim team / swim instruction / life guarding

List any training you have had - CPR / lifeguarding / swim instruction

List any work experience

List 3 references - names & contact numbers