New Employee Application - Pool Personnel

Name*

First Last

Date of Birth*

Address*

Please fill in your address below.

Street Address Address Line 2 City State ZIP Code

Home Phone

Cell Phone*

Email*

This should be the email of the applicant, not a parent or guardian.

Position You Are Applying For*

Check all that apply.

Manager
Assistant Manager
Pool Operator
Lifeguard

Availability*

Full Time: 25-40 hours per week
Part Time: 15-25 hours per week
Substitute: as needed

Certifications*

Are you currently certified in lifeguarding, first aid, cpr and AED? If yes, you'll be able to upload copies of them later.

Course*

Have you scheduled a certification course?

Preferred Pool*

If you prefer to be assigned to a specific pool, please indicate it here.

Second Choice*

What is your second choice if your first is not available?

Third Choice*

What is your third choice if the others are not available?

Member Of*

Please list any pools you belong to. Enter "none" if you are not a member of any pools.

School Status*

As of January 1, 2025, you are a member of which class? If you are not currently in school, please indicate.

High School
College
Not in School

School Year*

Date

If you will be attending college this fall, please enter the date you expect to leave for school.

Dates / Times Unavailable*

Please list any dates and times that you know of when you will not be available to work between Memorial Day and Labor Day, including but not limited to vacations, school days, return to college, etc. If you don't have any, simply write "None."

Extracurricular Commitments*

If in high school, will athletics or other commitments impact your availability in August? Please specify as best you can. Please note that the pool season at most pools concludes September 7, 2025.

Experience / References

Please provide names and contact information for previous employers. If you do not have prior work experience, simply leave this part blank. For dates of employment, month and year is fine--no need to worry about specific dates.

Your Job Title	Name of the Business	Name of Your Supervisor	Supervisor Phone/Email	Dates of Employment

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