Lifeguard ApplicationPlease enable JavaScript in your browser to complete this form.Date *Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAge *Lifeguards must be 15 years old or older. The Age Discrimination in Employment Act prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than age 70.Email *Phone *Which position are you applying for? *Senior LifegaurdLifeguardJunior LifeguardDesired salaryDo you have experience as a lifeguard? *YesNoPlease tell us what certifications you have: *Have you been a lifeguard here previously? *YesNoWhich days are you available to work?MondayTuesdayWednesdayThursdayFridaySaturdaySundayHours per week you're available to work:Under 55-1011-1516-2021-3031-40Date you can start: *Present employer *May we contact your present employer? *YesNoSupervisor *Present employer supervisor phone number *Resume Click or drag a file to this area to upload. Any Relevant Certifications You Have (Lifeguarding, CPR, etc) Click or drag a file to this area to upload. I certify that the information contained in this application is accurate and correct. I understand that any omission or erroneous information may be grounds for dismissal. I authorize the references listed above to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise and release all parties from all liability that may result from furnishing the same to you. These policies do not create any promises or contractual obligations between the Lovell Recreation District, BHCSD#2 BOCES, or Lovell Municipal Pool and its employees. My employment is at will, which means I a free to terminate my employment at any time, for any reason, with or without cause, and the company listed above has the same right. *Clear SignatureSubmit