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Please complete and return, by clicking on the "submit" button, the following employment application for lifeguarding and other positions for Summer 2012

Personal Information

* First Name

* Last Name

* Address 1

Address 2

* City

* State

* Postal Code

* HOME PHONE # AND CELL PHONE #

* Email Address

* Position Applying For

* Are you legally authorized to work in the United States?

Yes

* Have you ever been convicted of a felony?

Yes

If yes, please explain.

Availability

Employment History

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Supervisor/Manager

Reason for Leaving

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Supervisor/Manager

Reason for Leaving

References

Name

Title

Phone

Email Address

Name

Title

Phone

Email Address

Additional Skills

List any additional skills which you may have.

Enter any dates which you cannot work during the summer(family vacation,previous commitment,etc)

* Indicates Response Required


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