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Swim Instructor Application
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Applicant's Name
Your answer
Phone Number
Your answer
Email
Your answer
Gmail (if you have one)
Your answer
Referred By
Your answer
Date you can start:
MM
/
DD
/
YYYY
Days/Times you ARE available to work:
Your answer
Year Round or Summer Only
year round
summer only
Clear selection
Dates between now - 9/1 that you must have off:
Your answer
Home Address
Your answer
Cross Streets To Your House
Your answer
CPR Certified
Yes
No
Clear selection
Lifeguard Certified
Yes
No
Clear selection
Do you have a car you can use for work?
Yes
No
Clear selection
Have you been on a swim team before?
Yes
No
Clear selection
Check the strokes you are confident swimming:
Freestyle
Back Stroke
Breast Stroke
Butterfly
Flip Turns
Treading Water
Description of your previous work experience:
Your answer
Are you currently employed? If yes, where?
Your answer
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