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Blossomwood Pool Lifeguard Application 2023
Please complete form and provide copies of your certification to Blossomwoodpoolmanager@gmail.com
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Phone number
*
Your answer
E-mail Address
*
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Parent's Name
*
Your answer
Parent's Cell Number
*
Your answer
Last Grade Completed
*
9th
10th
11th
12th
College
Required
Which position(s) are you interested in?
*
Lifeguard
Assistant Manager (assistant managers will still be required to sit stand)
Sub ONLY
Required
Reference #1
Please list one adult who will be called & asked questions about your work ethic.
**Include their name, how you know them, and their phone number/email.
*
Your answer
Reference #2
Please list one adult who will be called & asked questions about your work ethic.
**Include their name, how you know them, and their phone number/email.
*
Your answer
List any dates you will
NOT
be able to work. Blossomwood Pool is open May 27th-Septemeber 5
*
Your answer
What summer activities are you involved in that may limit your time to work? (Baseball, football, band, camp, other jobs, etc)
*
Your answer
Are you available to May 14th and/or May 21st to help prepare the pool for the season?
*
Yes
No
Choose which holiday you are willing to work:
LIFEGUARDS ARE REQUIRED TO WORK AT LEAST ONE HOLIDAY WEEKEND
*
Memorial Weekend (May 26-29)
4th of July
Labor Day Weekend (September 1-4)
Required
Have you worked at Blossomwood Pool before?
*
Yes
No
Please list any work experience you have that would aide in you being a lifeguard?
(Ex. childcare, swim instructor, swim coach, pool maintence, etc.)
*
Your answer
Please list any work experience.
*
Your answer
Do you hold a
CURRENT
Red Cross Lifeguard First Aide/CPR Training Certificate?
*
Yes
No
By signing your name below, you are stating that you
-understand the job description
-understand the lifeguard certification requirements for the job and will maintain a current certificate on file with Blossomwood Pool Association
-agree to participate in mandatory staff training sessions held prior to the pool opening and periodically throughout the pool season.
*
Your answer
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