Springdale Area Recreation Club 2008
Lifeguard Application
Contact our Pool Manager with any questions
Applicant Information
Name:
Address:
City, State, Zip:
Home Phone:
Mobile Phone:
Email:
Are you or your family a member of Springdale? Yes
No 		Do you have a valid driver's license? Yes
No 		Do you have a criminal record? Yes
No
Education
High School:
High School level completed:
College:
College Completed:
Availability
Date available to start:
Desired employment end date:
Any dates not available:
Applying for:
Experience
Previous lifeguard experience:
Where was your previous lifeguard experience?
Previous salary or hourly rate:
Related experience in water -
Swimming instructor, swim coach, other:
Training and Certificates
Certified Pool Operator (CPO) Active
Expected 		Enter expiration date or date to be completed:
Lifeguard Active
Expected 		Enter expiration date or date to be completed:
CPR Active
Expected 		Enter expiration date or date to be completed:
First Aid Active
Expected 		Enter expiration date or date to be completed:
WSI Active
Expected 		Enter expiration date or date to be completed:
Other Active
Expected 		Enter expiration date or date to be completed:
Work Experience
Company 1
Address
Dates Employed
Responsibilities
Company 2
Address
Dates Employed
Responsibilities
Anything else you would like our staff to know?