Name *

Address *

City, State, Zip Code *

Cell Phone Number *

Date of Birth *

Grade Level and School *

Have you ever worked at West Broadway Swim Club? If so what summers and in what positions? *

Which position(s) are you interested in? *

Opening weekend will be May 29-31, will you be available to work this weekend? If no, explain why? *

Will you be available to work on July 4th? (Every Guard is required to work this day!) If not explain why? *

You are expected to work until the pool closes which will be on September 6th … are there any reasons why you would not be able to work until then? If yes, explain why? *

Are there any dates as of right now you know you will be gone? (You will put dates into an app for days you cannot work) *

Do you want to work swim lessons? These would be mornings before the pool opens. *

Would you be willing to guard during morning lap swimming? (Possibly 6 a.m. - 7 am) *

How many hours do you want to work each week? This is just a guess and will be dependent on how many guards are hired. *

Valid Driver's License (yes/no & expiration date) *

Lifeguard Certification - Who did you get it through? Red Cross, Star guard, other (yes/no & expiration date) Will need a copy of certification on file. We WILL be having lifeguard training in May at WBSC that you can pay and do then. *

CPR (yes/no & expiration date) *

First Aid (yes/no & expiration date) *

Why do you want to lifeguard at West Broadway Swim Club? *

What qualities do you think you will bring to the pool as being a lifeguard? *

Any other questions or comments you would like us to know? *