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LIFEGUARD EMPLOYMENT APPLICATION

Currently, we are hiring lifeguards, gate attendants and pool managers for

positions throughout the Richmond and Charlottesville area.

 

Please complete all fields before submitting application:
* indicates required fields*
   
*First:  *
*Last: *
*Phone Number (Including Area Code):  *
*Cell Phone Number (Including Area Code): xxx-xxx-xxxx  *
*Birthday: (mm/dd/yy)  *
*Home Address: *
*City: *  *State:  *
*Zip Code:  *
*E-mail: *
Emergency Contact:
*Name:     * * Relation:  *
*Emergency Phone Number (Including Area Code): xxx-xxx-xxxx     *
*Are you a returning Douglas Aquatics lifeguard? *
Which pool did you work at last year?
Which pool do you have membership at in the area? 
*Employee Status:  *
*Position applied for:  *
*Rate of pay expected:  * Previous rate of pay (if returning)
*Have you been convicted of a felony within the last 7 years?  Conviction will not necessarily disqualify an applicant from employment.  *
Preferred area of Richmond to work in:
Pool Preference: 1.   2. 3.
*Do you have reliable transportation to work?   *
Availability: Your availability dates are important.  Please give serious consideration to the dates you indicate because they will have a strong bearing on your application.  Failure to comply with the dates indicated may affect future employment status.
*Date you can begin work:  *
Are you available: All staff members must be available 2 out of the 3 seasonal holidays!
*Memorial Day? *
*July 4th *
*Labor Day *
If not, when is your last available day?
*Do you have any summer activities planned that may require a special work scheduling? Prior Commitments:
 *
*Do you play Fall Sports?   *
  If yes, when does practice begin?
Qualifications
*Are your certificates current?     *  
 
Lifeguard Training Certificate Completion Date: 
CPR for the Professional Rescuer Completion Date:
Water Safety Instructor (WSI) Expiration Date: 
Pool Operators License Date Issued: 
Education
High School
*Name of School: *
*Did you graduate? *
Current grade level:
College
Name of School: 
Did you graduate? 
Credit hours completed:
Previous Job Experiences
Job 1
Company Name: 
Supervisor: 
Phone Number (Including Area Code): 
Employed From (Mo/Yr) To (Mo/Yr): 
Job 2
Company Name: 
Supervisor: 
Phone Number (Including Area Code): 
Employed From (Mo/Yr) To (Mo/Yr): 
Job 3
Company Name: 
Supervisor: 
Phone Number (Including Area Code): 
Employed From (Mo/Yr) To (Mo/Yr): 
Personal References
Please list 2 people other than family members, peers, or previous employers
(coaches, professors/teachers or other associates are recommended):
Reference 1
*Name:  *
*Phone Number (Including Area Code):  *
*Relationship:  *
Reference 2
Name:
Phone Number (Including Area Code):
Relationship:
Please list any extra curricular activities or sports that you participated in during high school or college, as well as any awards or honors that you have received:
How did you hear about Douglas Aquatics, Inc.?    Please define OTHER:
Current Employee's Name that referred you:
 
Hepatitis B Vaccine Determination

*I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself.

Please Choose One:
 I decline the hepatitis B vaccination at this time due to already having the shots, and will provide Douglas Aquatics with a copy of my shot record.*

I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease.*

I request the hepatitis B vaccination at this time.*
Submit Application
When you are finished completing the employment application, click the submit button >>

We will contact all qualified applicants for interviews upon receipt of application.

If you do not receive a form confirmation page, please email: lifeguard@douglasaquatics.com
 

Note: The information you provide us is used only for Douglas Aquatics Employment Application Processing. Your name and address information will not be given to any third party without your consent. Your e-mail address is used only for sending you information and updates about the status of your application.

Equal Opportunity Employer