Returning Lifeguard Application
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Email *
Full name *
Preferred Name *
Sex *
(If under 18) Birth Date
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Permanent Address *
Temporary/School Address
Phone Number *
Availability
Please list the first and last dates you are available, and note any dates you are unable to work. *
Are you offering your services for: *
Please check the boxes to indicate when you generally ARE available to work.
 *
Required
Positions Applying For *
If you are applying for more than one position, please list them in order of preference.
Education Update *
Please include:

Name of College, Major, Anticipated graduation year, and Current class (Fr., Soph., Jr., Sr., Graduated)
and/or
Name of High School and Current class (Fr., Soph., Jr., Sr., Graduated)
Employment Update *
Please list all employers since working here (paid or volunteer) 

Format: Position, Employer/Organization, Supervisor, Phone, Dates Worked
Spiritual Life and Additional Information
Please answer the questions below in sufficient detail.
1. Why are you interested in returning WCRC as a lifeguard?
*
2. In what ways, if any, are you different or more mature than your previous summer?
*
3. Write about some ways in which you had an impact on the lives of the pool patrons and other staff.
*
4. What are some of the most significant things you learned while working here previously?
*
5. What have you been doing to grow spiritually in the last several months? What is God doing in your life and teaching you recently?
*
6. List your three top priorities/goals for your time this coming summer, if hired.
*
7. Have you lifeguarded any since last summer? If so, where and how often?
*
8. Is your lifeguard certification current? Is your first aid and CPR for professional rescuer current?
 *
9. Have you ever been convicted of a felony or misdemeanor, or pleaded no contest in a felony, other than a minor traffic violation? If yes, specify conviction, date, and location of conviction.  
 *
10. Have you ever been accused or convicted of physically or sexually abusing anyone? 
(If yes, please explain)
*
11. Do you have any physical/emotional/health conditions that would make it dangerous or difficult to work the long and demanding weekly hours of a lifeguard schedule? (If yes, explain)   
 *
12. Is there anything that would interfere with your ministry at WCRC such as behavior that is contrary to Christian values, substance use, or inappropriate language? (If yes, please explain)   
 *
References *
Your application is not complete with out references from three adults. 
-The Pastoral Reference should be from your pastor or youth leader
-The Employer Reference from a former supervisor (employment, volunteer, or academic)
-The Personal Reference should be from another adult of your choice (non-related)

Do not use peers, immediate family members or current WCRC staff as references. Contact your references before listing. Complete the contact information in full. Email your references this link and ask that they fill it out promptly. Thanks!

Please list your three references'  Relationship to you, Name, Address, Position, Phone, and Email below.
I certify that the information given on this application is true. I also give Williamsburg Christian Retreat Center permission to conduct a criminal history record request and a child abuse/neglect report. I understand that my employment may be contingent upon information contained within these reports.

I hereby give the Williamsburg Christian Retreat Center permission to exchange information with the references I have provided regarding my ability to serve as a summer staff person at WCRC.   
Applicant's Electronic Signature *
I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature.
Date *
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Parent's Electronic Signature (If applicant is under 18 years of age)
I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature.
Date
MM
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