Ridgewood Swim Club, Inc.

APPLICATION FOR EMPLOYMENT

Position:     ___  Lifeguard                                  ___  Swim Instructor

Name:  ____________________________________________

Address:  ___________________________________________

                    ___________________________________________

Phone Number:  _____________________________________

Have you been employed by Ridgewood Swim Club, Inc., in the past?

            __  Yes           __  No

If yes, please list dates and title:

__________________________________________________

Are you looking for: __  Part-time employment?  (5-20 hours per week)

                                    __  Full-time employment?  (20+ hours per week)

Are you under the age of 16 years old?  __  Yes __  No           

Job Related Certifications:

*A PHOTOCOPY OF ALL CURRENT CERTIFICATIONS MUST BE ATTACHED TO THE APPLICATION FOR EMPLOYMENT CONSIDERATION.

Related Work Experience:

__________________               ________________________________

Position                                              Employer

__________________               ________________________________

Dates                                                  Immediate Supervisor & Phone Number

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__________________               ________________________________

Position                                              Employer

__________________               ________________________________

Dates                                                  Immediate Supervisor & Phone Number

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__________________               ________________________________

Position                                              Employer

__________________               ________________________________

Dates                                                  Immediate Supervisor & Phone Number

References:  (Please list two)

If hired you must have the appropriate official documents (driver’s license, social security card, birth certificate, US passport, foreign visa with authorizations to work in the U.S., etc.) proving your eligibility to work in the United States.  Your signature authorizes Ridgewood Swim Club, Inc., to verify any information presented on the application.

__________________________________                       ____________

Applicant Signature                                                                         Date

PLEASE SEND COMPLETED APPLICATIONS TO:

Ridgewood Swim Club, Inc.

P.O. Box 5069

Christiansburg, VA 24068