Lifeguard Application

Luther Park at Danbury

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Luther Park Part-time Lifeguard Application Form

Please note: Once you start this application you will not be able to save your responses, we suggest to read the application first to ensure you have all the information you need.

Personal Information

* Indicates required field

Today's Date *

Name *

First

Last

Date of Birth *

Will you be 18 by June 1? *

Yes No

Home Address *

Phone *

Email *

Please indicate how you would like to be contacted: *

Phone Call Text Message Email

List any medical conditions that may affect your work. *

Background Information

If you select yes to either/both of the following, you will be expected to explain the convictions, dates and circumstances during your interview.

Have you ever been convicted of a crime/felony? *

Yes No

Have you ever been convicted of child abuse or any sexual offense? *

Yes No

Educational/Work Experience

Name of Current School or Current Place of Employment (if not in school) *

Present grade/class/major or Current Position *

List any other job or life experience that would help you do your job. *

Position Preference

Please describe why you think you are a good fit for the Lifeguard position. What qualities do you think the you have that would assist you in doing a great job in this position? What might be some challenges you might have in this position? *

References

Please list one professional reference.

First & Last Name *

Relationship *

Phone Number *

Email *

First & Last Name *

Relationship *

Phone Number *

Email *

To the best of my knowledge, the information and responses I have given are accurate and honest. *

Yes No

Submit

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HOME
Summer Camp
Retreats & Rentals
Donate
Calendar
About Us
Contact Us