Swim Instructor Application
Applicant's Name
Phone Number
Email
Gmail (if you have one)
Referred By
Date you can start:
MM
/
DD
/
YYYY
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?
Submit
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