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Application for Employment

DSC06843_1

If you have any questions about the application, or would prefer it emailed to you in PDF format please email jobs@shorebeach.com.

Starting Date of Availability

Ending Date of Availability

Name *

Height

Weight

Gender

Date of Birth *

US Social Security Number

Driver's License Number

State of Issue

Expiration Date

Phone

Email Address *

Mailing Address *

City *

State *

Zip

REQUIREMENTS

REQUIREMENTS

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

LIFEGUARDING

Lifeguard Certifying Agency

Lifeguard Expiration Date

CPR

CPR

CPR Certifying Agency

CPR Expiration Date

Have you received Hepatitis B vaccinations? Vaccination is not required for employment. *YesNo

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

Sports Physical

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

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

Date of Last Physical

Select files to attach. Size limit gor each file is 5 MB.

No file chosen

Do you have any physical impairments/conditions that could limit your job performance? *YesNo

If yes, please explain

Have you ever been convicted of driving under the influence of drugs or alcohol? *YesNo

If yes, please explain

Do you have housing for the summer? *YesNo

Will you have a vehicle for the summer? *YesNo

HISTORY

HISTORY
EDUCATION

High School Attended *

Highest Grade Level Completed *

College

Highest Grade Level Completed

Work History

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

References

Reference 1

Reference 1

Name

Relationship

Phone

Email Address

Reference 2

Reference 2

Name

Relationship

Phone

Email Address

Reference 3

Reference 3

Name

Relationship

Phone

Email Address

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

How did you hear about Shore Beach Service? *

SIGNATURE

SIGNATURE

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

Your Name in Full - *THIS WILL SERVE AS YOUR SIGNATURE*

Date

awards

116 Arrow Road • Hilton Head Island, SC 29928
Phone: (843)785-3494 • Fax: (843)785-2023 • office@shorebeach.com

Copyright Shore Beach Services