Winter Lifeguard
Aquatech Management of Long Island, INC
First Name *
Last Name *
Email *
Phone number *
Cell Phone Service Provider *
Emergency Contact Name (First & Last) *
Emergency Contact Phone Number *
Emergency Contact Relationship *
Date of Birth *
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Social Security Number *
Mailing Address (Include: Street, Town, Zip Code) *
American Red Cross Lifeguard Training *
Upload Lifeguard Certification
First Aid/CPR/AED Training *
Upload CPR Certification
Date Available to Start *
MM
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Days Available to Work *
Please be prepared with exact times during interview. Check both for all day availability
Required
Availability *
Required
Student Status
Name of College/High School
When Are You Due Back To Campus (College)
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DD
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Employment History *
Company Name
Desired Salary
Work Reference *
Please Provide Name of Last Supervisor, Phone Number and Email Address
How did you find out about Aquatech *
I hereby agree to give at least two weeks notice prior to leaving my position with Aquatech Management of Long Island. *
Please Read Before Submitting
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
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