Lifeguard Application

Please fill out form and submit or download Adobe Acrobat file, print and mail in.

To print and mail in you must have Acrobat Reader which you can download for free by clicking on logo below.

Position you are applying for

(please check one):

- Pool Attendant
- Lifeguard
- Pool Manager
- Swim Lesson Instructor
- Other

Personal Information

Your Full Name (As it appears on your Social Security Card): |
Social Security Number
Prefer to be called by:
Address (summer):
City: State: Zip Code:
Home Phone:
Cell Phone:
Age:
Birthdate:
Sex (M/F):
Email Address: (Required to send application)

Availability

Position Applying For:
What major intersection are you close to:
Do you have transportation to work? Yes / No
Dates available to work?
Start
Finish

School Experience

High School:
Grade Point Average:
College:
Grade Point Average:
Major:
Year (freshman, sophomore, etc):

Clubs, activities, sports, etc:
Awards, Honors, and Leadership Positions held:

WORK EXPERIENCE

(List most recent job first. Please include any lifeguard experience you have)

First
Company Name:
Your Position:
Dates Worked:
Your Supervisor/Phone #:

Your major job duties:

Second
Company Name:
Your Position:
Dates Worked:
Your Supervisor/Phone #:

Your major job duties:

Third
Company Name:
Your Position:
Dates Worked:
Your Supervisor/Phone #:

Your major job duties:

REFERENCES

(List people other than family and peers. Use at least one teacher or coach)
Name: Profession:
Phone #:
Years Known:
Name: Profession:
Phone #:
Years Known:
Name: Profession:
Phone #:
Years Known:

MISCELLANEOUS INFORMATION

How did you hear about Swim Atlanta Pool Management?
Emergency Notification: Name
Phone #