Swim Instructor Application
Sign in to Google to save your progress. Learn more
Applicant's Name
Phone Number
Gmail (if you have one)  
Referred By
Date you can start:
Days/Times you ARE available to work:
Year Round or Summer Only
Clear selection
Dates between now - 9/1 that you must have off:
Home Address
Cross Streets To Your House
CPR Certified
Clear selection
Lifeguard Certified
Clear selection
Do you have a car you can use for work?
Clear selection
Have you been on a swim team before?
Clear selection
Check the strokes you are confident swimming:
Description of your previous work experience:
Are you currently employed? If yes, where?
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy