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Lifeguard Orientations

ON-LINE APPLICATION

Employment Application

Please fill in the following entries as completely and accurately as possible.

Contact Information

Name		SSN
Street Address		City
State		ZIP Code
Email		Telephone

Status

Date of Birth	/ / (month, day, year) *NOTE: You must be at least 16 years of age by your first date of employment in order to be hired.
Education Level/School
Salary Desired	per hour
Position Applied For
Dates Available	/ through /

Qualifications

(Indicate the date of course completion.)

WSI:	LGI:	Head Lifeguard:	LGT:
Adult CPR:	CPR/FPR:	Community CPR:	First Aid:
Pool Ops (List County):

Last Three Employers

	Employer	Dates Worked (mm/yy - mm/yy)	Job Title	Supervisor Name/Phone
1.
2.
3.

References

(two people not related to you, whom you have known for at least one year)

	Name	Phone
1.
2.

Emergency Contact

Name:

Phone:

Expectations

Briefly describe what you can do for, and what you expect from WPM
(Please type continuously, without pressing the ENTER key)

How did you find out about us?

By clicking the SUBMIT button you certify that the information you have provided is accurate and complete.

Winkler Pool Management, Inc. considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation or any other legally protected status.

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