2024 Lifeguard Application for Employment

Last name, First name & Middle name

Enter your Last name, First name and lastly your middle name.

Male or Female

Highschool/College name

Enter the school or college that you are currently attending.

Picture of yourself

Click or drag a file to this area to upload.

Please upload a picture of your face with no hats/sunglasses on.

Address

Enter your House # and Street address

City

Enter the name of the city you live in.

State

Enter the state you live in.

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Social Security #

Enter your Social Security number.

Current Age

How old are you today?

Cell Phone #

Enter your Cell phone number.

Birthdate and Year

Enter your Birthdate as follows: 00/00/0000

Grade Entering

What grade level will you be in returning to school?

Voicemail Setup/Available?

Yes
No

***Please be sure your voicemail is SET UP and NOT FULL so that I am able to leave a message***

Email

Enter your email address.

Parent/Guardian Name

Please enter first and last name of your Parent/Guardian that you're living with.

Parent/Guardian Phone #

Please enter a phone number to reach the person you provided.

Parent/Guardian Name

Please enter first and last name of your Parent/Guardian that you're living with.

Parent/Guardian Phone #

Please enter a phone number to reach the person you provided.

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In case of an Emergency, who should we contact?

List the name of the person to call.

Relation

How is this person related to you?

Emergency Contacts Phone #

Enter the phone # for us to call.

Do you have a current Lifeguard Certification?

Yes
No

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Type of Certificate

Who is the Certification through?

Example: Red Cross/YMCA/American Heart Association

Expiration Date

When does the Certification expire?

Please upload the FRONT of your Lifeguard Certification Card(if you have one, skip if not).

Click or drag a file to this area to upload.

Please explain what type of swimming experience you have.

Why do you want to be a Lifeguard at Baylor Beach Park?

Are you currently employed?

Yes
No

If yes, where is your current employment?

References

Reference 1

Enter a reference

Phone #

Enter a phone number for this reference 1.

Reference 2

Enter a reference

Phone #

Enter a phone number for this reference 2.

Reference 3

Enter a reference

Phone #

Enter a phone number for this reference 3.

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Do you attend church regularly?

Yes
No

If yes, what time could you be at work on Sundays?

Are there other activities that you would like us to schedule around?

Yes
No

If yes, please explain:

Days that you are requesting off during the Memorial Day - Labor Day Season. Month & Day/Days then the Reason/Activity.

What is the LAST DAY that you are able to work for the season?

Digital Signature

I authorize investigation of all statements in this application and understand omission or misrepresentation of facts are cause for dismissal. I understand and agree that my employment is for no definite period and may be terminated at any time without previous notice.

Date

BAYLOR BEACH PARK, INC. DOES NOT DISCRIMINATE IN EMPLOYMENT ON THE BASIS OF RACE, SEX, RELIGION, COLOR, NATIONAL ORIGIN, AGE OR DISABILITY.

Thank you for applying!

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