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Employment Application

aquatics water

First Name:
Middle Name:
Last Name:
  
Email:
  
Home Phone:
999-999-9999
Cell Phone:
999-999-9999
  
Address 1:
  
Address 2:
  
City:
State:
Zipcode:
  
Select the position(s) in which you are interested:
LG Instructor      Front Desk      Lifeguard      Head Lifeguard     Fitness Instructor     Swim Lesson Instructor
  
Please list relevant experience as a volunteer or participant in the position(s) indicated above. Include any classes or training specific to the area(s) of interest.
  
Please indicate specific certification(s) held, agency name(s) and expiration date(s).
Certification Agency Name Expiration Date
Adult CPR (mm/dd/yyyy)
CPR / PR (mm/dd/yyyy)
First Aid (mm/dd/yyyy)
AED (mm/dd/yyyy)
Lifeguard Training (mm/dd/yyyy)
ARC Instructor (mm/dd/yyyy)
CPO (mm/dd/yyyy)
ACE (mm/dd/yyyy)
AFAA (mm/dd/yyyy)
ACSM (mm/dd/yyyy)
Other (mm/dd/yyyy)
  
Please indicate maximum number of hours per week you are willing to work:
  
Hours NOT available to work between 5 AM - 11 PM Monday - Sunday. Please note all travel time, class, meetings, etc.
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:
  
Please list three (3) references.
Name Relationship Phone Number
  
Attach your resume:
  
I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete; and I understand that any misstatement, falsification, or omission of information shall be grounds for refusal to hire or, if hired, termination. I understand that any offer of employment is contingent upon my agreement to abide by the rules and regulations of the Triangle Aquatics.
I Agree    I Disagree
  
 




  
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CALENDAR
  
NCS Age Group LCM Championships
July 17-20
 

  
TSA Championship
July 26-27
 

  
TITANS Prep Meet
September 20
 

  
NC Senior Games
September 27
 

  

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