Walnut Grove Swim Club

Personnel Application Form
 

Date _______________

Name _______________________________________

Address _____________________________________

Birthdate _______________ 

Social Security No. ________________ 

Phone No. ____________

Position Applying For: ___________________________

Education:    __ Grade in high school   
                    __ High School Graduate  
                    __ College Graduate

If applying for lifeguard, type of certification:     
        YMCA  _____   Red Cross ______

When does certification expire: ____________________

Previous Work Experience: _____________________________________________

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References : (Name, Address, phone number)
    
    1) _____________________________________        
    
    2) _________________________________________
    
    3) ________________________________________

What personal qualities make you an ideal candidate for this position?

____________________________________________

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