APPLICATION FOR EMPLOYMENT

All applicants are subject to a criminal background investigation.

POSITION APPLYING FOR
(When applying for more than one position, prioritize your choices 1, 2, 3, etc.)

Registration Desk Staff Kidstown Counselor (3-5 Yrs.)
Pool Lifeguard * Day Camp Counselor
Pool Swim Assistant Youth Baseball Coach
Pool Cashier / Concessions Building Supervisor
Beach Lifeguard * Child Care Staff
Sailing Instructor * Other
Softball Umpire If other

QUALIFICATIONS (*Needed for Asterisked Positions)

     CPR       First Aid       Lifeguard Certificate

PERSONAL INFORMATION
Fields marked in RED are required.

Name
Email
Age
Date of Birth
(MM / DD / YYYY)
Address
City
State
Zip
Home Phone

Your Cell Phone

(if none leave blank)

School Address
(if in college)
School Phone
Emergency Name
Emergency Phone
Date able to Start
(MM / DD / YYYY)
Ending Date
(MM / DD / YYYY)

REFERENCES

Name
Address
Phone
Yrs. Acquainted

FORMER EMPLOYERS

Name
Address
Phone
Dates Employed

    

 
 
 
Site by Koch Creative and Mainline, Inc.