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Employment

Little Dolphins Swim Academy - Somerset/Bridgewater                                         

Employment Application

 

Applicant Information

Last Name

 

First

 

M.I.

Date

 

Street Address

 

Apartment/Unit #

 

City

 

State

 

ZIP

 

Cell Phone

 

E-mail Address

 

Sessions Available (Ioand

 

 

 

Social Security No.

 

Position Applied for

(Day or Resident Counselor)

Are you a citizen of the United States?

YES 

NO 

If no, are you authorized to work in the U.S.?

YES 

NO 

Have you ever taught swim lessons?

YES 

NO  

If so, when?

 

Have you ever been convicted of a felony?

YES 

NO 

If yes, explain

 

 

Education

High School

 

Address

 

From

 

To

 

Did you graduate?

YES 

NO 

Degree

 

College

 

Address

 

From

 

To

 

Did you graduate?

YES 

NO 

Degree

 

Other

 

Address

 

From

 

To

 

Did you graduate?

YES

NO 

Degree

 

 

References

Please list three professional references.

Full Name

 

Relationship

 

Company

 

Phone

(           )

Address

 

Full Name

 

Relationship

 

Company

 

Phone

(           )

Address

 

Full Name

 

Relationship

 

Company

 

Phone

(           )

Address

 

                                                     
 


 

 

 

Previous Swimming Experience and/or Employment

 

Swimming Experience

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Teaching Experience

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certifications You Hold and Expiration:    Lifeguard

CPR 

 

First Aid              WSI           USA Swim Coach

 

Other Special Certifications or abilities?

 

 

 

 

Professional Goals:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Military Service

 

Branch

 

From

 

To

 

 

Rank at Discharge

 

Type of Discharge

 

 

If other than honorable, explain

 

 

 

 

Disclaimer and Signature

 

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.

 

Signature

 

Date

 

 

                                           
 

 

 

Return Application to: Little Dolphins Swim Academy, 1050 Dellwood Rd, Martinsville, NJ 08836   Phone: 732:921-5989 

Email: ldolphinssa@gmail.com


 

 
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