2024 Employee Application
Thank you for applying at the FAC!!
Please note the required ages: 
Lifeguard: 15
Concessions: 14
Swim lesson aid: 14
Email *
About Me
What Position are You Applying for? *
Required
For Lifeguard Applicants
Clear selection
Name *
Street *
City *
Phone # *
Date of Birth *
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DD
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YYYY
Emergency Contact: Name and Phone Number *
Education
What School do you or did you attend? *
What grade have you completed? *
Certifications
What certifications do you hold?
When do your certifications expire?
Employment History
May we contact your previous employers?
Clear selection
Employer 1
Place of Employment
Date started
MM
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DD
/
YYYY
Date ended
MM
/
DD
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YYYY
Supervisor's name and number
Describe your position and duties
Employer 2
Place of Employment
Date started
MM
/
DD
/
YYYY
Date ended
MM
/
DD
/
YYYY
Supervisor's name and number
Describe your position and duties
Employer 3
Place of Employment
Date started
MM
/
DD
/
YYYY
Date ended
MM
/
DD
/
YYYY
Supervisor's name and number
Describe your position and duties
List THREE References
List the name, relationship and contact information of 3 references *
Please tell us why you would like to work at the Fairbank Aquatic Center. *
Do you have any conditions that we should be aware of, or do you require any special accommodations? (severe allergies, special medications, etc..) *
Please list any school, community, or civic activities you are, or have been  involved in. *
Please list any activities you are involved in that could affect the days/hours you are available to serve. *
By typing my initials, I affirm the answers provided on this application are accurate to the best of my knowledge. (please type initials) *
Applicants under 18
I am the guardian of the applicant and I affirm the answers he/she provided on this application are accurate to the best of my knowledge. (please type you name)
The Fairbank Aquatic Center and the City of Fairbank are Equal Opportunity Employers
Thank You!
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