ASSA: Applications

ASSA: Employment Application
Lifeguard InstructorSwim InstructorSpecial Event LifeguardAquatics Program ManagerCPR Instructor
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
CPR/AED/First AidWSI CertificationFirst Aid CertificationCPO CertificationLGT CertificationLGTI Certification
Available Start Date

MonthDayYear
Previous Teaching Experience
Previous Lifeguarding Experience
Do you have competitive swim experience?
YesNo
Work Full-TimeWork Part-TimeStudent Full-TimeStudent Part-TimeNone of the Above
Will you consent to a criminal and employment background check?
Are you able to use your own vehical to drive to locations?
Do you have valid vehicle insurance?
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
MorningAternoonEveningWeekdaysWeekends
Cobb CountyClayton CountyFulton CountyDekalb CountyGwinnett CountyCity of Atlanta
What are your greatest strengths as it relates to aquatics?
Please give a brief discription of your swim expereice or swim instructor experience. The more info. the better.
May we contact previous employer for a reference check?
Professional References:
Previous Employer
E-mail
Phone Number

Area CodePhone Number
Current Resume

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Professional References

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LGT Certification:

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Water Safety Certification:

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CPR/First Aid Certification

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ID Code for CPR/ First Aid / AED Certification
ID Code for LGT Cerification
ID Code for Water Safety Instructor Certification
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ASSA: Employment Application