Employement Application – Wedgewood Swim Club

Employee Application

Step 1 of 2

50%

Hidden

Application Year

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Cell Phone(Required)

Home Phone

Email(Required)

Date of Birth(Required)

DOB required to schedule work hours in compliance with State of New Jersey Child Labor Laws.

MM slash DD slash YYYY

Emergency Contact Name and Phone Number(Required)

Postion(Required)

Life Guard

Front Desk

Learn to Swim Instructor

Assistant Manager

Assistant Dive Coach

How many hours would you like to work in one week?(Required)

Number of years Wedgewood Experience(Required)

Certifications

Lifeguard Training(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

CPR(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

First Aid(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

AED(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

Certified Pool Operator(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

Uniform Size

Shirt Size(Required)

Extra Small

Small

Medium

Large

Extra Large

Shorts Size(Required)

Extra Small

Small

Medium

Large

Extra Large

Do you have any physical disabilities or injuries that preclude you from performing any work for which you are being considered? Please explain.

Employee Application

Step 1 of 2

50%

Hidden

Application Year

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Cell Phone(Required)

Home Phone

Email(Required)

Date of Birth(Required)

DOB required to schedule work hours in compliance with State of New Jersey Child Labor Laws.

MM slash DD slash YYYY

Emergency Contact Name and Phone Number(Required)

Postion(Required)

Life Guard

Front Desk

Learn to Swim Instructor

Assistant Manager

Assistant Dive Coach

How many hours would you like to work in one week?(Required)

Number of years Wedgewood Experience(Required)

Certifications

Lifeguard Training(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

CPR(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

First Aid(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

AED(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

Certified Pool Operator(Required)

Currently certified

Will be certified by pool opening

Will be re-certified by pool opening

Not Certified

Uniform Size

Shirt Size(Required)

Extra Small

Small

Medium

Large

Extra Large

Shorts Size(Required)

Extra Small

Small

Medium

Large

Extra Large

Do you have any physical disabilities or injuries that preclude you from performing any work for which you are being considered? Please explain.

Employee Application

Certifications

Uniform Size

Employee Application

Certifications

Uniform Size

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