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Employment Application Request Form

Application For Employment

If you have any questions about the application, please email jobs@shorebeach.com

Starting Date of Availability

Ending Date of Availability

Name *

Height

Weight

Sex

Date of Birth *

US Social Security#

Driver's License # *

State *

Expiration *

Phone Number *

Email Address *

Mailing Address *

City *

State *

Zip *

Lifeguarding, CPR and First Aid certifications are required prior to employment as a lifeguard. Please list those currently held below and send copies. If not currently ceritfied, give approximate date of course completion.

Lifeguarding

Certifying Agency *

Expiration Date *

CPR

Certifying Agency *

Expiration Date *

Evidence of a sports physical received within the last year is required prior to employment as a lifeguard.

Date of physical. Please send in with application if possible. You can submit application without a physical, but one is required before employment begins *

Have you received Hepatitis B vaccinations? Vaccination is not required for employment * Yes No

List any other certifications or training you may have that would be applicable to this job

Do you have any physical impairments/conditions that could limit your job performance? * Yes No

If yes, explain

Do you regularly take any medications? * Yes No

If yes, explain

Have you ever been convicted of driving under the influence of drugs or alcohol? * Yes No

If yes, explain

Do you have housing for the summer? * Yes No

Will you have a vehicle? * Yes No

Education

High School *

Grade Level Completed *

College

Grade Level Completed

List work history including part-time jobs and volunteer work.

Employer 1

Name of Organization

Dates of Employment

Phone

City

State

Starting Salary

Ending Salary

Reason for Leaving

Supervisor's Name

Description of Duties

Employer 2

Name of Organization

Dates of Employment

Phone

City

State

Starting Salary

Ending Salary

Reason for Leaving

Supervisor's Name

Description of Duties

References

Name

Relationship

Phone

Email

Name

Relationship

Phone

Email

Name

Relationship

Phone

Email

Write a brief summary about the abilities and attributes you can offer Shore Beach Service *

How did you hear about Shore Beach Service

Upload files (physical forms, certifications etc)

The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

The maximum file size is 5mb (jpg, jpeg, png, pdf, doc)

I, the undersigned, do certify that I have truthfully answered all questions on this application to the best of my ability.

Signature of Applicant *

Date *

SHORE BEACH SERVICE
116 Arrow Road • Hilton Head Island, SC 29928
Phone: (843)785-3494 • Fax: (843)785-2023 • This email address is being protected from spambots. You need JavaScript enabled to view it.

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