Employment Application

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Employment » Employment Application

Employment Application Form

Positions (Please select at least one.)

I am applying for the following position(s):
Lifeguard *Pool Manager *Pool Attendent *Swim Lesson InstructorService TechnicianConcession Stand

* (BOARD OF HEALTH CERTIFIED POSITION)

Personal Information (All Fields Are Required)

First Name:

Last Name:

Prefer to be called by:

Are you at least 15 years old?:
YesNo

Email Address:

Telephone:

Cellular Phone:

Education and Interests

Interests (clubs, sports, activities, etc.):

Lifeguard Certification

Are You Currently Certified?:
Yes
No

If you are currently certified, please answer the following:

Certification Type:

Name of Lifeguard Instructor:

Location of Lifeguard Class:

Year of Lifeguard Class:

Availability

Are you interested in working at a certain facility?:

What major intersection are you close to?:

Do you have transportation to work?:
No
Yes

What date can you start work?:

Select Date

What will be your last day of work?:

Work Experience

References: (Please list people other than family and peers. Use at least one teacher or coach.)

Reference #1

Reference #2

Reference #3

Miscellaneous Information

How did you hear about Kentuckiana Pool Management:

Emergency Contact

Agreement (Required)

I UNDERSTAND THAT MY EMPLOYMENT WILL BE STRICTLY SUMMER EMPLOYMENT, AND I WILL NOT FILE FOR UNEMPLOYMENT WHEN MY EMPLOYMENT ENDS.

Agree?:
Yes
No

User Profile (All Fields Are Required)

If you are hired as a lifeguard, you will use the following information to log in to the Lifeguard Portal.

Username:

Password (Must be at least 7 characters):

Confirm Password:

Display Name:

Apply Now

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Saturday, July 31, 2010