ASSA: New Applications

Position Applying for:

Swim InstructorInstructor Assistant
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Available Start Date

MonthDayYear
Previous Teaching Experience
Previous Lifeguarding Experience
Do you have competitive swim experience?
Which completive swim teams have you swam for? For what length of time?
Qualifications

CPR/AED/First AidWSI CertificationFirst Aid CertificationCPO CertificationLGT CertificationLGTI Certification
Daily Schedule

Work Full-TimeWork Part-TimeStudent Full-TimeStudent Part-TimeNone of the Above
Days of Availability

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Daily Availability

MorningAternoonEveningWeekdaysWeekends
Which Location are you Interested in?

Atlanta, GADecatur, GA
Do you work someplace else part time or full time?
Have you ever worked ina management role? If so explain?
What are your greatest strengths as it relates to aquatics?
Please give a brief discription of your swim expereice or swim instructor experience. The more info. the better.
May we contact previous employer for a reference check?
Do you have any hobbies?
Please List One Professional Reference:
Company Name
Name of Supervisor:

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Current Resume

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Professional References

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LGT Certification:

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Water Safety Certification:

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CPR/First Aid Certification

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