Name: Address: City: State: Zip Phone: (hm) (cell) Email: Social Security # Date available to start: End date: Are you a citizen of the United States? Yes No --- Have you ever worked for VSC? Yes No Type of employment desired per week: 1- Full Time (40 Hrs/wk) 2- Part Time (25 Hrs/wk) 3- Temporary (12 Hrs/wk)
Rate your availability to work for each... with 1 being best and 4 being least desirable: 1- Most Desirable 2- Very Desirable 3- Desireable 4-Least Desireable Anytime 1- Most Desirable 2- Very Desirable 3- Desireable 4-Least Desireable Only when scheduled 1- Most Desirable 2- Very Desirable 3- Desireable 4-Least Desireable Weekdays 1- Most Desirable 2- Very Desirable 3- Desireable 4-Least Desireable Nights & weekends
Would you be interested in a Manager position? Yes No If yes, Why? What skills do you possess that you feel qualify you as a manager?
Do you have up to date lifeguard and CPR/first aid certification? (Bring to interview for verfication) Yes No
Do you have up to date WSI Training certification? (Bring to interview for verfication) Yes No
Would you be interested in teaching Swim Lessons Yes No Summarize the skills, certifications and aptitudes you possess that qualify you for any of the above mentioned positions:
High School: #of years completed: did you graduate? Yes No College or University: # of Years Completed? did you graduate? Yes No ---- Degree? Yes No
Please furnish the names, addresses & telephone numbers of two people to whom you are not related and whom you have not been employed.
Reference 1: Name: Phone: Address: City: State: Zip: Reference 2: Name: Phone: Address: City: State: Zip:
Dates of employment: From To Position held: Firm: Address: Phone: Supervisor: Title: Responsibilities: Reason for leaving: Dates of employment: From To Position held: Firm: Address: Phone: Supervisor: Title: Responsibilities: Reason for leaving: I certify that my answers are true and correct to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational financial or medical history and other related matters as may be necessary for an employment decision. In the event I am employed, I understand that false or misleading information given in my application or interview may result in discharge.
I certify that I have read the Valley Swim Club Employee Drug Free Workplace Policy and Employee Contract and I know I will be required to sign and adhere to these policies if offered a position. Signature of applicant: Date:
by typing your full name, date, and clicking on the Submit your Application now! button you are signing this application..
