Employment Application

Name*
First Last
Address*
Street Address Address Line 2 City State
Phone*
Email*
Enter Email Confirm Email
How did you hear about Splash?
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Position(s) applying for (hidden to avoid deletion of past responses):*
Position(s) applying for:*
- Swim Lesson Instructor
- Aquatics Coordinator
- Individual Pool Manager
- Head Lifeguard
- Lifeguard
- Head Swim Team Coach
- Assistant Swim Team Coach
- Pool Maintenance Technician
Reason you should be hired for the position
Have you ever been convicted of a felony?*
- Yes
- No
If Yes, please explain.*

Employment History - Last 3 jobs
Please include any lifeguard or instructor positions.
Job #1
Company Name
Job Title
Responsibilities
Managment?
- Yes
- No
If Yes, Number of Employees
Start Date
DD slash MM slash YYYY
End Date
DD slash MM slash YYYY
Reason for leaving
Supervisor Name
Supervisor Phone Number
Would you like to add a second position to your employment history?
- Yes, I would like to add a second position.

Employment History - Last 3 jobs (Continued)
Please include any lifeguard or instructor positions.
Job #2
Company Name
Job Title
Responsibilities
Managment?
- Yes
- No
If Yes, Number of Employees
Start Date
DD slash MM slash YYYY
End Date
DD slash MM slash YYYY
Reason for leaving
Supervisor Name
Supervisor Phone Number
Would you like to add a third position to your employment history?
- Yes, I would like to add a third position.

Employment History - Last 3 jobs (Continued)
Please include any lifeguard or instructor positions.
Job #3
Company Name
Job Title
Responsibilities
Managment?
- Yes
- No
If Yes, Number of Employees
Start Date
DD slash MM slash YYYY
End Date
DD slash MM slash YYYY
Reason for leaving
Supervisor Name
Supervisor Phone Number

Volunteer Experience #1
Company or Organization
Job Title
Dates of Service
Responsibilities
Reason for volunteering
Reason for leaving
Supervisor Name
Supervisor Phone Number
Add another volunteer experience?
- Yes, I have another volunteer experience to add.

Availability
First Date Available*
MM slash DD slash YYYY
Last Date Available
MM slash DD slash YYYY
Times Available - Monday
Times Available - Tuesday
Times Available - Wednesday
Times Available - Thursday
Times Available - Friday
Times Available - Saturday
Times Available - Sunday
Vacation Dates
Summer Classes
Other dates and or times you are unavailable to work
Interviews
Interviews for lifeguards, pool managers, coaches, maintenance technicians and aquatics coordinators will begin in February. Swim lesson instructor interviews are ongoing.
Phone
This field is for validation purposes and should be left unchanged.

Education & Interests