Last Name *

First Name *

Date of Birth *

Address *

Home/Cell Phone Number *

Have you or your family been a member of the pool in the last two years? *

Are you willing to assist with swim lessons? *

Have you ever worked at the Clinton Swim and Tennis Club? If so, list previous years of employment and position(s). *

Please list any previous work/volunteer experience and how the skills you obtained/used can contribute to the Clinton Swim and Tennis Club. Please include your dates of employment, supervisor's name and contact information. *

Why are you interested in a counter help position at the Clinton Swim and Tennis Club? Why do you think you should be considered as a strong candidate for the position? *

Please list any organizations, athletics, or volunteer activities with which you have been involved and/or any academic awards you have received. *

Please list 1-2 references that we may contact. Include name, relationship to you and contact information (email or phone number). *