Larkspur Swim and Racquet Club Lifeguard Application 2020
Please fill out this form as completely as possible. We will reach out to qualified applicants.
Name (first and last) *
Your answer
Address *
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Phone Number *
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Email *
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Social Security Number (you can put the last 4) *
Your answer
Date of Birth *
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Age *
Your answer
Emergency Contact *
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Phone number *
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Relationship to applicant *
Your answer
What position are you interested in? *
Required
Please let us know about your schooling. High school attended and graduation date. College attended *
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Are you lifeguard certified? *
If yes, when does your certification expire?
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Are you WSI certified? *
If yes, when does your certification expire?
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Are you CPR/First Aid certified? *
If yes, when does your certification expire?
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YYYY
Are you CPO certified? *
If yes, when does your certification expire?
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YYYY
Have you been a lifeguard before? *
If yes, please list your previous employer and contact number
Your answer
How many years of lifeguarding experience do you have?
Your answer
Comments
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Thank you for filling out the application!
Thank you for filling out the application. If you are planning on taking lifeguarding classes before May please send us an email at info@larkspurswim.com once you have completed your courses.
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