LIFEGUARD EMPLOYMENT APPLICATION

Currently, we are hiring lifeguards and pool managers for positions throughout the Hampton/Newport News/Williamsburg/York County/James City County/Southside areas.
Please complete all fields before submitting application:
First:
Last:
Phone Number (Including Area Code): 
Cell Phone Number (Including Area Code): 
Birthday: (mm/dd/yy)
Home Address:
City:   State:  
Zip Code:
E-mail:
Emergency Contact:  
Name:  Relation:  
Phone Number:
Are you a returning lifeguard?

Which pool did you work at last year?

Position applied for: 
Rate of pay expected:    Previous rate of pay (if returning)
Preferred area of Hampton Roads to work in:
Pool Preference:1.   2. 3.
Do you have reliable transportation to work?  
Availability: Your availability dates are important.  Please give serious consideration to the dates you indicate because they will have a strong bearing on your application.  Failure to comply with the dates indicated may affect future employment status.

Date you can begin work:

Are you available:
Memorial Day?
July 4th            
Labor Day            If not, when is your last available day?
Please list any prior commitments or conflicts:

How did you learn about our employment opportunities? Flyer, Web Site, etc?
Qualifications
Lifeguard Training Certificate Completion Date: 
CPR for the Professional Rescuer Completion Date:
Water Safety Instructor (WSI) Completion Date: 
Pool Operators License Date Issued: 
Previous Job Experiences
Job 1
Company Name: 
Supervisor: 
Phone Number (Including Area Code): 
Employed From (Mo/Yr) To (Mo/Yr): 
 
Job 2
Company Name: 
Supervisor: 
Phone Number (Including Area Code): 
Employed From (Mo/Yr) To (Mo/Yr): 
 
Job 3
Company Name: 
Supervisor: 
Phone Number (Including Area Code): 
Employed From (Mo/Yr) To (Mo/Yr): 
 
Submit Application
When you are finished completing the employment application,
click the submit button >>
Note: The information you provide us is used only for Douglas Aquatics Employment Application Processing. Your name and address information will not be given to any third party without your consent. Your e-mail address is used only for sending you information and updates about the status of your application.