2018 Junior Sailing Program Instructor Application
Email address *
Junior Sailing Program Instructor Application
Full Name *
Your answer
Address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Start Date Available for Summer Employment *
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End Date for Summer Employment *
MM
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Will You Be Available from June 18th through Aug 24th? *
Position Applied For *
Have you previously worked for JPYC? *
Please List Previous Employment Experience and, if available, email a resume to jpycsailingdirector@yahoo.com *
Your answer
Are you a US Citizen? *
Are you Authorized to Work in the US? *
Have you Ever Been Convicted of a Felony? *
High School *
What Year in High School Are You? *
Your answer
College *
Your answer
What Year in College Are You? *
Age *
Your answer
Birthdate *
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DD
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YYYY
Please List Three (3) References Including Phone Numbers *
Your answer
Swimming Level *
T-Shirt Size *
Emergency Contact Person's Name *
Your answer
Emergency Contact Phone Number *
Your answer
Certification: I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in application or interview may result in my termination. *
WAIVER: I understand that there are inherent risks in participating in water sports. On behalf of myself and my family, I do hereby voluntarily release, waive, discharge, hold harmless, covenant not to sue and to defend and indemnify the JPYC Foundation, its affiliates, agents, officers, employees, members, managers, instructors, volunteers, directors, representatives, successors and assigns (collectively “Released Parties”) from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services, attorneys’ fees or otherwise which may arise out of my employment in the JPYC Foundation's sailing programs and its affiliates' programs and use of their watercraft equipment and/or facilities (“Claims”). I understand that this release extends to claims of any nature and kind whatsoever, known or unknown, suspected or unsuspected, arising on and after execution hereof. I have read this form and fully understand that by signing this form, I am giving up certain legal rights and/or remedies. *
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A copy of your responses will be emailed to the address you provided.
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