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Please fill out the form below and click the submit button when
finished. Fields marked with an asterisk (*) are required.
First Name *:
Last Name *:
Address *:
City, State, & Zip *:
Phone *:
Gender *: Female
Male
Date Of Birth *:
Are you available from June 5-August 13?
Yes No
Are you able to get lifeguard certification before June 5th?
Yes No
Please note: We require that our staff be at least 18 years old and preference is given to people who have at least one year of college-level education or one year of life guarding or counselor experience.
Education Background:
Recent Employment:
Employer Name & Phone:
Please state experience and or training that would apply to this job (child care, lifeguarding, etc…)
On a scale of 1-5, rate yourself with 5 being the most:
How comfortable are you (with 5 being the most):
Health restrictions or health issues we should know about:
How do you handle your own frustration and anger:
List your experience working with young people:
Which age child do you prefer working with? Age 8-10? Age 11-12? Age 13-15?
Tell us why you want to work for us:
Tell us how you would handle these situations:
You notice a camper that is bothering other children on the bus; you’ve told the child twice to stop, but he continues. What would you do now?
You’re at a public pool. One child is splashing and dunking other children; you’ve told him to stop, but he continues. What would you do?
You’ve noticed a child who is mostly by herself. She is not joining into the activity and you’ve already asked her to come play, but she says no. What would you do?
Is there anything else about you that you’d like us to know?
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