NOW HIRING

SWIM INSTRUCTORS, AEROBIC INSTRUCTORS & LIFE GUARDS!

we are a P.E.R.S. employer & will train for all positions.

Last Name (required)

Middle (full) (required)

First Name (full) (required)

Address (required)

City (required)

State (required)

Zip Code (required)

Main Phone (required)

Email Address (required)

ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THIS COUNTRY? (required)

YES

1.) Education Name/Location

Years Attended

Graduated

Major

2.) Education Name/Location

Years Attended

Graduated

Major

3.) Education Name/Location

Years Attended

Graduated

Major

4.) Education Name/Location

Years Attended

Graduated

Major

5.) Education Name/Location

Years Attended

Graduated

Major

1.) Most Recent Employer (required)

Address (required)

Position (required)

Supervisor's Name (required)

Phone (required)

2.) Employer (required)

Address (required)

Position (required)

Supervisor's Name (required)

Phone (required)

3.) Employer (required)

Address (required)

Position (required)

Supervisor's Name (required)

Phone (required)

1.) Professional/Community Development Group

Position Years

2.) Professional/Community Development Group

Position Years

3.) Professional/Community Development Group

Position Years

1.) Certification and Expiration Date

Agency

Date Attained

2.) Certification and Expiration Date

Agency

Date Attained

3.) Certification and Expiration Date

Agency

Date Attained

4.) Certification and Expiration Date

Agency

Date Attained

ACCOMPLISHMENTS AND/OR SPECIAL SKILLS IN AQUATICS

1.) Reference Name

Reference Address

Reference Phone

Years Known Reference

2.) Reference Name

Reference Address

Reference Phone

Years Known Reference

3.) Reference Name

Reference Address

Reference Phone

Years Known Reference

PLEASE READ BEFORE SIGNING STATEMENT OF TRUTHULNESS OF APPLICATION FACTS I hereby certify that the information given by me on this application is to the best of my ability true and accurate, I understand that this application contains minimal amount of information needed to verify my qualifications for the position for which I am applying. If hired, I will be requested to supply additional information necessary to begin my employment file. I further understand that any misrepresentation or omission of information called for in this application is cause for cancellation of this application and/or dismissal of employment. Please type a signature and date. (required)

AUTHORIZATION TO RELEASE INFORMATION I have made application for employment with the Greater St. Helens Aquatic District, and hereby authorize the GSHAD to verify the information given by me on this application. I understand that the GSHAD may contact my former employers, my current employer, law enforcement agencies, State and Federal Agencies and departments, educational institutions, and private business corporations that I have referred to on my application. I further understand that this verification process will be used in a confidential manner by the GSHAD. Please type a signature and date. (required)

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