Employment Application – Fountain Green Swim Club

Type of Position Desired*

Lifeguard
Gate/Concession Stand Worker

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Home Phone*

Cell Phone

Email Address*

Date of Birth*

High School/College

Certification

Lifeguard
Pool Operator
CPR
WSI

Other certification

What school year are you in?

High School

Freshman
Sophomore
Junior
Senior

College

Freshman
Sophomore
Junior
Senior

Do you play on a sports team?

Fall

Spring

Other work experiences: (please describe and provide name and phone number of contact person)

Personal References

Reference Name

First Last

Reference Address

Address/City/State/Zip

Reference Phone Number

Personal References

Reference Name

First Last

Reference Address

Address/City/State/Zip

Reference Phone Number

Personal References

Reference Name

First Last

Reference Address

Address/City/State/Zip

Reference Phone Number

Why should FGSC hire you?

Applicant's Name

First Last

Certify*

I certify that the person's name in the box above is the person submitting this form

Date

Club Info

Location