Lifeguard Application

Date *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Age *

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 Lifegaurd
Lifeguard
Junior Lifeguard

Desired salary

Do you have experience as a lifeguard? *

Please tell us what certifications you have: *

Have you been a lifeguard here previously? *

Which days are you available to work?

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Hours per week you're available to work:

Under 5
5-10
11-15
16-20
21-30
31-40

Date you can start: *

Present employer *

May we contact your present employer? *

Supervisor *

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. *

Lovell Recreation District and BHCSD#2 BOCES
600 Shoshone Ave, Lovell, WY 82431

P.O. Box 596
Office: (307) 548-6466
Lovell Rec Mobile: (307) 254-7461

Lovell Rec Email: LovellRec@bgh2.org
BHCSD#2 BOCES Email: LovellBOCES@bgh2.org
Office Email: LovRecComEd@bgh2.org

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