NOW HIRINGSWIM 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)YESNO1.) Education Name/LocationYears AttendedGraduatedMajor2.) Education Name/LocationYears AttendedGraduatedMajor3.) Education Name/LocationYears AttendedGraduatedMajor4.) Education Name/LocationYears AttendedGraduatedMajor5.) Education Name/LocationYears AttendedGraduatedMajor1.) 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 GroupPosition Years2.) Professional/Community Development GroupPosition Years3.) Professional/Community Development GroupPosition Years1.) Certification and Expiration DateAgencyDate Attained2.) Certification and Expiration DateAgencyDate Attained3.) Certification and Expiration DateAgencyDate Attained4.) Certification and Expiration DateAgencyDate AttainedACCOMPLISHMENTS AND/OR SPECIAL SKILLS IN AQUATICS1.) Reference NameReference AddressReference PhoneYears Known Reference2.) Reference NameReference AddressReference PhoneYears Known Reference3.) Reference NameReference AddressReference PhoneYears Known ReferencePLEASE 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)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.