Name
*
First Name
Last Name
Email
*
Phone Number
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are you at least 18 years old?
*
Are you legally permitted to work in the United States?
*
Have you ever been convicted of a crime?
*
If yes, please explain:
Do you currently hold a High School diploma (or equivalent)?
*
Graduation Date (Past or Expected)
*
Please select the date you graduated from the last institution you attended. If you have not yet graduated, please select your expected graduation date.
MM
DD
YYYY
What kind of reference is this?
*
Select
Professional
Personal
Other
Reference Name
*
First Name
Last Name
Relationship
*
Phone
*
(###)
###
####
Phone Number
*
(###)
###
####
Job Title
*
Responsibilities
*
From
*
MM
DD
YYYY
To
*
MM
DD
YYYY
Supervisor Name
*
First Name
Last Name
May we contact previous supervisor as a reference?
*
Reason for Leaving
*
Current Certifications
*
Please list any CURRENT certifications you hold. If none, write N/A.
Expired Certifcations
Please list any (relevant) expired certifications you held.
What is your current school/work status?
*
Check all that apply:
How many hours are you interested in working per week?
*
Select
Less than 10
10-20
20-40
More than 40
When are you available to start?
*
Our summer season runs from March until October.
MM
DD
YYYY
What is the last day of the season you are available to work?
The summer season goes from March until October.
MM
DD
YYYY
Daily Availability
*
Check all times and dates that apply. These hours are NOT guaranteed.
Experience with Children
*
Check all ages of children that you have worked with in any professional capacity (preschool, daycare, babysitting non-siblings, school, sports teams, etc.) Experience should be for longer than one year to be considered.
Experience with Children in the Pool
*
Check all ages you have worked with in the pool (swim lessons, coaching, water polo, etc). Do not include children that you have swam or played on the same team with, etc.
Do you have any formal Child Development education?
*
Select
Yes
Some
No
Swimming Experience
*
Please select all swimming experience (as an athlete/non employee) you have. Each experience must have been for more than 1 year.
Do you know how to swim all 4 competitive strokes?
*
Please Select
Yes
No
Are you capable of lifting up to 30 pounds both in and out of the water?
*
Please Select
Yes
No
Do you have a RELIABLE form of transportation?
*
Family and friends are NOT reliable forms of transportation.
Do you have RELIABLE access to technology?
*
This includes RELIABLE access to a cell phone, email, internet, etc.
Do you have any piercings that will be visible when wearing a one-piece bathing suit?
*
Select
Yes
No
Do you speak any languages besides English?
*
Include languages spoken fluently or partially (can speak but not write, etc.)
If yes, list languages.
Why do you want this position?
*
What are the first three steps in teaching a child how to swim? (Assume the child has never swam before)
*
Why should we hire you?
*
Other information we should know:
Sign Full Name
*
First Name
Last Name
