lifeguard application

Personal Data
Name *
Name
Main Phone *
Main Phone
Alternate Phone
Alternate Phone
Phone *
Phone
Phone
Phone
General Information
Are you a citizen of the United States? *
If no. do you have an Alien Registration Card?
Have you ever been charged with a crime? *
Do you posses a valid motor vehicle operator's license? *
If no, do you posses a valid state issued identification card?
Describe
Previous Employment
Employer 1 Phone
Employer 1 Phone
$
Supervisor's Name
Supervisor's Name
Supervisor's Phone
Supervisor's Phone
Employer 2 Phone
Employer 2 Phone
$
Supervisor's Name
Supervisor's Name
Supervisor's Phone
Supervisor's Phone
Education and Training
Certifications
To the best of your knowledge, are you currently trained, certified/licensed, qualified and capable of working as a Lifeguard in the State of Texas? *
Are you currently certified in Lifeguarding *
First Aid *
CPR *
AED *
Do you have any health issues, problems, concerns or conditions that could possibly prohibit or impede you from adequately performing your actions, duties, expectations and responsibilities as a lifeguard or interfere with your duties or employment as a lifeguard to include those that may or may not cause any kind of damage, bodily harm, death or near death to yourself, coworkers, patrons, maintain a safe environment (including possible medication side effects?) *
Are there ANY reasons you would not be able to perform the duties of or safely function as a lifeguard? *
References
Availability
Verification

You may be asked to email copies (front and back) of your valid, pertinent certifications and a copy of your driver's license or state issued identification card and social security card.