2021 Job Application

Greenhaven Cabana Club South Employment Application 2021
* Indicates a required field
Position You are Applying For *

Lifeguard (Must be 15 years old and have valid certification by May 15, 2021)
Full Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Alternate/Home Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Do You Have Your Lifeguard Certification *

Yes No
If You Are Not Currently Certified, Are You Enrolled to Take a Class

Yes No
What Date Will Your Certification be Completed

Month Day Year
References: Please List 2 References - include name, phone number, relationship (not parents or family members) *
Previous Employment or Volunteer Experience: Please list name of company or organization and type of work performed *
Please indicate any weeks you will be unavailable to work this summer *
Should be Empty:

Greenhaven Cabana Club South Employment Application 2021