{"id":140,"date":"2024-12-23T03:33:28","date_gmt":"2024-12-23T03:33:28","guid":{"rendered":"https:\/\/chaospreview.com\/shorebeach\/?page_id=140"},"modified":"2025-11-11T19:59:11","modified_gmt":"2025-11-11T19:59:11","slug":"application","status":"publish","type":"page","link":"https:\/\/shorebeach.com\/index.php\/application\/","title":{"rendered":"Application"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Our Mission&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;b536d0c3-875c-4b83-ae7a-9fe6ad12dbdd&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; custom_margin=&#8221;||||false&#8221; custom_padding=&#8221;2vw||2vw||true|false&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{%22gcid-1f1bf5fb-a99d-4acc-8d9e-ddac074c158c%22:%91%22background_color_gradient_stops%22%93,%22gcid-a78660e1-cfc7-4771-a566-6834d6a7f06a%22:%91%22background_color_gradient_stops%22%93,%22gcid-24b0db87-dafa-47d9-995f-b90181e18c52%22:%91%22background_color_gradient_stops%22%93}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;900px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;Application for Employment&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;49af6408-47ff-48c1-98d3-96f7fb565b06&#8243; title_font=&#8221;||||||||&#8221; title_text_align=&#8221;center&#8221; title_text_color=&#8221;#0C71C3&#8243; custom_margin=&#8221;||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_heading][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_image src=&#8221;https:\/\/shorebeach.com\/wp-content\/uploads\/2025\/02\/IMG_1917.jpg&#8221; title_text=&#8221;IMG_1917&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_fullwidth_image][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Our Mission&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;b536d0c3-875c-4b83-ae7a-9fe6ad12dbdd&#8221; custom_margin=&#8221;||||false&#8221; custom_padding=&#8221;2vw||2vw||true|false&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;900px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;If you have any questions about the application or prefer it in PDF format, please email jobs@shorebeach.com&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;6ad1f5fd-fbc0-4485-a9ce-07e3cdf0d463&#8243; title_text_align=&#8221;center&#8221; title_text_color=&#8221;#FFFFFF&#8221; title_font_size=&#8221;31px&#8221; title_line_height=&#8221;1.5em&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_heading][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Programs&#8221; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;6aa52908-168a-4332-a676-0c3a3503464e&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<div class=\"forminator-ui forminator-custom-form forminator-custom-form-145 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-145\" data-uid=\"69f72ee235973\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-145\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-145 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"145\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69f72ee235973\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-145--page-0\" class=\"forminator-pagination forminator-pagination-start\" aria-labelledby=\"forminator-custom-form-145--page-0-label\" data-step=\"0\" data-label=\"Finish\" data-name=\"page-break-3\"><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69f72ee235973\" id=\"forminator-field-date-1-picker_69f72ee235973-label\" class=\"forminator-label\">Starting Date of Availability <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_69f72ee235973\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_69f72ee235973\" id=\"forminator-field-date-2-picker_69f72ee235973-label\" class=\"forminator-label\">Ending Date of Availability <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-2-picker_69f72ee235973\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69f72ee235973\" id=\"forminator-field-first-name-1_69f72ee235973-label\" class=\"forminator-label\">First <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"E.g. John\" id=\"forminator-field-first-name-1_69f72ee235973\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69f72ee235973\" id=\"forminator-field-last-name-1_69f72ee235973-label\" class=\"forminator-label\">Last <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"E.g. Doe\" id=\"forminator-field-last-name-1_69f72ee235973\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69f72ee235973\" id=\"forminator-field-text-1_69f72ee235973-label\" class=\"forminator-label\">Height<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69f72ee235973\" id=\"forminator-field-text-2_69f72ee235973-label\" class=\"forminator-label\">Weight<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-145__field--select-1_69f72ee235973\" id=\"forminator-form-145__field--select-1_69f72ee235973-label\" class=\"forminator-label\">Gender<\/label><select  id=\"forminator-form-145__field--select-1_69f72ee235973\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-145__field--select-1_69f72ee235973-label\"><option value=\"female\"  data-calculation=\"0\">Female<\/option><option value=\"male\"  data-calculation=\"0\">Male<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_69f72ee235973\" id=\"forminator-field-date-3-picker_69f72ee235973-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-3-picker_69f72ee235973\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69f72ee235973\" id=\"forminator-field-text-3_69f72ee235973-label\" class=\"forminator-label\">US Social Security Number<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"US Social Security Number\" id=\"forminator-field-text-3_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69f72ee235973\" id=\"forminator-field-text-4_69f72ee235973-label\" class=\"forminator-label\">Driver&#039;s License Number<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Driver&#039;s License Number\" id=\"forminator-field-text-4_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69f72ee235973\" id=\"forminator-field-text-5_69f72ee235973-label\" class=\"forminator-label\">State of Issue<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"State of Issue\" id=\"forminator-field-text-5_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-picker_69f72ee235973\" id=\"forminator-field-date-4-picker_69f72ee235973-label\" class=\"forminator-label\">Expiration Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-4\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-4-picker_69f72ee235973\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69f72ee235973\" id=\"forminator-field-phone-1_69f72ee235973-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-1_69f72ee235973\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69f72ee235973\" id=\"forminator-field-email-1_69f72ee235973-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69f72ee235973\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69f72ee235973\" id=\"forminator-field-text-6_69f72ee235973-label\" class=\"forminator-label\">Mailing Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Mailing Address\" id=\"forminator-field-text-6_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_69f72ee235973\" id=\"forminator-field-text-7_69f72ee235973-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"City\" id=\"forminator-field-text-7_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_69f72ee235973\" id=\"forminator-field-text-8_69f72ee235973-label\" class=\"forminator-label\">State <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"State\" id=\"forminator-field-text-8_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_69f72ee235973\" id=\"forminator-field-text-9_69f72ee235973-label\" class=\"forminator-label\">Zip<\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"Zip\" id=\"forminator-field-text-9_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><\/div><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-145--page-1\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-145--page-1-label\" aria-hidden=\"true\" data-step=\"1\" data-label=\"Page  1\" data-name=\"page-break-4\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">REQUIREMENTS<\/label><p><strong>REQUIREMENTS<\/strong><\/p>\n<p>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.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><label class=\"forminator-label\">LIFEGUARDING<\/label><p>LIFEGUARDING<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_69f72ee235973\" id=\"forminator-field-text-10_69f72ee235973-label\" class=\"forminator-label\">Lifeguard Certifying Agency<\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"Lifeguard Certifying Agency\" id=\"forminator-field-text-10_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"date-5\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-5-picker_69f72ee235973\" id=\"forminator-field-date-5-picker_69f72ee235973-label\" class=\"forminator-label\">Lifeguard Expiration Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-5\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-5-picker_69f72ee235973\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><label class=\"forminator-label\">CPR<\/label><p><strong>CPR<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_69f72ee235973\" id=\"forminator-field-text-11_69f72ee235973-label\" class=\"forminator-label\">CPR Certifying Agency<\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"CPR Certifying Agency\" id=\"forminator-field-text-11_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"date-6\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-6-picker_69f72ee235973\" id=\"forminator-field-date-6-picker_69f72ee235973-label\" class=\"forminator-label\">CPR Expiration Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-6\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-6-picker_69f72ee235973\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69f72ee235973\" id=\"forminator-field-textarea-1_69f72ee235973-label\" class=\"forminator-label\">List any other certifications or training you may have that would be applicable to this job.<\/label><textarea name=\"textarea-1\" placeholder=\"Other certifications or training\" id=\"forminator-field-textarea-1_69f72ee235973\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69f72ee235973-label\"><span id=\"forminator-radiogroup-radio-1-69f72ee235973-label\" class=\"forminator-label\">Have you received Hepatitis B vaccinations? Vaccination is not required for employment. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69f72ee235973\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69f72ee235973\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69f72ee235973\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69f72ee235973\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><label class=\"forminator-label\">Sports Physical<\/label><p><strong>Evidence of a sports physical received within the last year is required prior to employment as a lifeguard.<\/strong><\/p>\n<p>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.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-7\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-7-picker_69f72ee235973\" id=\"forminator-field-date-7-picker_69f72ee235973-label\" class=\"forminator-label\">Date of Last Physical<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-7\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-7-picker_69f72ee235973\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_69f72ee235973\" id=\"forminator-field-upload-1_69f72ee235973-label\" class=\"forminator-label\">Select files to attach. Size limit gor each file is 5 MB.<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_69f72ee235973\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_69f72ee235973\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_69f72ee235973_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_69f72ee235973\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69f72ee235973-label\"><span id=\"forminator-radiogroup-radio-2-69f72ee235973-label\" class=\"forminator-label\">Do you have any physical impairments\/conditions that could limit your job performance? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69f72ee235973\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-69f72ee235973\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69f72ee235973\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-69f72ee235973\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69f72ee235973\" id=\"forminator-field-textarea-2_69f72ee235973-label\" class=\"forminator-label\">If yes, please explain<\/label><textarea name=\"textarea-2\" placeholder=\"If yes, please explain\" id=\"forminator-field-textarea-2_69f72ee235973\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69f72ee235973-label\"><span id=\"forminator-radiogroup-radio-3-69f72ee235973-label\" class=\"forminator-label\">Have you ever been convicted of driving under the influence of drugs or alcohol? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69f72ee235973\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-69f72ee235973\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-69f72ee235973\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-69f72ee235973\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69f72ee235973\" id=\"forminator-field-textarea-3_69f72ee235973-label\" class=\"forminator-label\">If yes, please explain<\/label><textarea name=\"textarea-3\" placeholder=\"If yes, please explain\" id=\"forminator-field-textarea-3_69f72ee235973\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69f72ee235973-label\"><span id=\"forminator-radiogroup-radio-4-69f72ee235973-label\" class=\"forminator-label\">Do you have housing for the summer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69f72ee235973\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-4\" value=\"Independent\" id=\"forminator-field-radio-4-1-69f72ee235973\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69f72ee235973\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"Enrolled\" id=\"forminator-field-radio-4-2-69f72ee235973\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69f72ee235973-label\"><span id=\"forminator-radiogroup-radio-5-69f72ee235973-label\" class=\"forminator-label\">Will you have a vehicle for the summer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69f72ee235973\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-5\" value=\"Has Vehicle\" id=\"forminator-field-radio-5-1-69f72ee235973\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69f72ee235973\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69f72ee235973\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-145--page-2\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-145--page-2-label\" aria-hidden=\"true\" data-step=\"2\" data-label=\"Page  2\" data-name=\"page-break-6\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><label class=\"forminator-label\">HISTORY<\/label><p><strong>HISTORY<\/strong><br><strong>EDUCATION<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_69f72ee235973\" id=\"forminator-field-text-12_69f72ee235973-label\" class=\"forminator-label\">High School Attended <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"High School Attended\" id=\"forminator-field-text-12_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_69f72ee235973\" id=\"forminator-field-text-13_69f72ee235973-label\" class=\"forminator-label\">Highest Grade Level Completed <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"Highest Grade Level Completed\" id=\"forminator-field-text-13_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_69f72ee235973\" id=\"forminator-field-text-14_69f72ee235973-label\" class=\"forminator-label\">College<\/label><input type=\"text\" name=\"text-14\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-14_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_69f72ee235973\" id=\"forminator-field-text-15_69f72ee235973-label\" class=\"forminator-label\">Highest Grade Level Completed<\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-15_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><label class=\"forminator-label\">Work History<\/label><p><strong>List work history including part-time jobs and volunteer work.<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><label class=\"forminator-label\">Employer 1<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_69f72ee235973\" id=\"forminator-field-text-16_69f72ee235973-label\" class=\"forminator-label\">Name of Organization<\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"Name of Organization\" id=\"forminator-field-text-16_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_69f72ee235973\" id=\"forminator-field-text-17_69f72ee235973-label\" class=\"forminator-label\">Dates of Employment<\/label><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"Dates of Employment\" id=\"forminator-field-text-17_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_69f72ee235973\" id=\"forminator-field-phone-2_69f72ee235973-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-2_69f72ee235973\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_69f72ee235973\" id=\"forminator-field-text-18_69f72ee235973-label\" class=\"forminator-label\">City &amp; State<\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"City &amp; State\" id=\"forminator-field-text-18_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_69f72ee235973\" id=\"forminator-field-text-19_69f72ee235973-label\" class=\"forminator-label\">Starting Salary<\/label><input type=\"text\" name=\"text-19\" value=\"\" placeholder=\"Starting Salary\" id=\"forminator-field-text-19_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_69f72ee235973\" id=\"forminator-field-text-20_69f72ee235973-label\" class=\"forminator-label\">Ending Salary<\/label><input type=\"text\" name=\"text-20\" value=\"\" placeholder=\"Ending Salary\" id=\"forminator-field-text-20_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69f72ee235973\" id=\"forminator-field-textarea-4_69f72ee235973-label\" class=\"forminator-label\">Reason for Leaving<\/label><textarea name=\"textarea-4\" placeholder=\"Reason for Leaving\" id=\"forminator-field-textarea-4_69f72ee235973\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-21\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-21_69f72ee235973\" id=\"forminator-field-text-21_69f72ee235973-label\" class=\"forminator-label\">Supervisor&#039;s Name<\/label><input type=\"text\" name=\"text-21\" value=\"\" placeholder=\"Supervisor&#039;s Name\" id=\"forminator-field-text-21_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_69f72ee235973\" id=\"forminator-field-textarea-5_69f72ee235973-label\" class=\"forminator-label\">Description of Duties<\/label><textarea name=\"textarea-5\" placeholder=\"Description of Duties\" id=\"forminator-field-textarea-5_69f72ee235973\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><label class=\"forminator-label\">Employer 2<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-22\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-22_69f72ee235973\" id=\"forminator-field-text-22_69f72ee235973-label\" class=\"forminator-label\">Name of Organization<\/label><input type=\"text\" name=\"text-22\" value=\"\" placeholder=\"Name of Organization\" id=\"forminator-field-text-22_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-23\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-23_69f72ee235973\" id=\"forminator-field-text-23_69f72ee235973-label\" class=\"forminator-label\">Dates of Employment<\/label><input type=\"text\" name=\"text-23\" value=\"\" placeholder=\"Dates of Employment\" id=\"forminator-field-text-23_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-3\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-3_69f72ee235973\" id=\"forminator-field-phone-3_69f72ee235973-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-3\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-3_69f72ee235973\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-24\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-24_69f72ee235973\" id=\"forminator-field-text-24_69f72ee235973-label\" class=\"forminator-label\">City &amp; State<\/label><input type=\"text\" name=\"text-24\" value=\"\" placeholder=\"City &amp; State\" id=\"forminator-field-text-24_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-25\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-25_69f72ee235973\" id=\"forminator-field-text-25_69f72ee235973-label\" class=\"forminator-label\">Starting Salary<\/label><input type=\"text\" name=\"text-25\" value=\"\" placeholder=\"Starting Salary\" id=\"forminator-field-text-25_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-26\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-26_69f72ee235973\" id=\"forminator-field-text-26_69f72ee235973-label\" class=\"forminator-label\">Ending Salary<\/label><input type=\"text\" name=\"text-26\" value=\"\" placeholder=\"Ending Salary\" id=\"forminator-field-text-26_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-6_69f72ee235973\" id=\"forminator-field-textarea-6_69f72ee235973-label\" class=\"forminator-label\">Reason for Leaving<\/label><textarea name=\"textarea-6\" placeholder=\"Reason for Leaving\" id=\"forminator-field-textarea-6_69f72ee235973\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-27\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-27_69f72ee235973\" id=\"forminator-field-text-27_69f72ee235973-label\" class=\"forminator-label\">Supervisor&#039;s Name<\/label><input type=\"text\" name=\"text-27\" value=\"\" placeholder=\"Supervisor&#039;s Name\" id=\"forminator-field-text-27_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-7\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-7_69f72ee235973\" id=\"forminator-field-textarea-7_69f72ee235973-label\" class=\"forminator-label\">Description of Duties<\/label><textarea name=\"textarea-7\" placeholder=\"Description of Duties\" id=\"forminator-field-textarea-7_69f72ee235973\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><label class=\"forminator-label\">References<\/label><p><strong>References<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><label class=\"forminator-label\">Reference 1<\/label><p>Reference 1<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69f72ee235973\" id=\"forminator-field-name-2_69f72ee235973-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-2_69f72ee235973\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-29\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-29_69f72ee235973\" id=\"forminator-field-text-29_69f72ee235973-label\" class=\"forminator-label\">Relationship<\/label><input type=\"text\" name=\"text-29\" value=\"\" placeholder=\"Relationship\" id=\"forminator-field-text-29_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-5\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-5_69f72ee235973\" id=\"forminator-field-phone-5_69f72ee235973-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-5\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-5_69f72ee235973\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-3\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-3_69f72ee235973\" id=\"forminator-field-email-3_69f72ee235973-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-3\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-3_69f72ee235973\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><label class=\"forminator-label\">Reference 2<\/label><p>Reference 2<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69f72ee235973\" id=\"forminator-field-name-3_69f72ee235973-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-3_69f72ee235973\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-30\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-30_69f72ee235973\" id=\"forminator-field-text-30_69f72ee235973-label\" class=\"forminator-label\">Relationship<\/label><input type=\"text\" name=\"text-30\" value=\"\" placeholder=\"Relationship\" id=\"forminator-field-text-30_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-6\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-6_69f72ee235973\" id=\"forminator-field-phone-6_69f72ee235973-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-6\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-6_69f72ee235973\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-4\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-4_69f72ee235973\" id=\"forminator-field-email-4_69f72ee235973-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-4\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-4_69f72ee235973\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><label class=\"forminator-label\">Reference 3<\/label><p>Reference 3<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_69f72ee235973\" id=\"forminator-field-name-4_69f72ee235973-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-4_69f72ee235973\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-28\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-28_69f72ee235973\" id=\"forminator-field-text-28_69f72ee235973-label\" class=\"forminator-label\">Relationship<\/label><input type=\"text\" name=\"text-28\" value=\"\" placeholder=\"Relationship\" id=\"forminator-field-text-28_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-4\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-4_69f72ee235973\" id=\"forminator-field-phone-4_69f72ee235973-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-4\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-4_69f72ee235973\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_69f72ee235973\" id=\"forminator-field-email-2_69f72ee235973-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-2_69f72ee235973\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_69f72ee235973\" id=\"forminator-field-textarea-8_69f72ee235973-label\" class=\"forminator-label\">Write a brief summary about the abilities and attributes you can offer Shore Beach Service <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-8\" placeholder=\"Summary of abilities and attributes\" id=\"forminator-field-textarea-8_69f72ee235973\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" aria-describedby=\"forminator-field-textarea-8_69f72ee235973-description\" ><\/textarea><span id=\"forminator-field-textarea-8_69f72ee235973-description\" class=\"forminator-description\">Response will be screened by AI detection tools<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-31\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-31_69f72ee235973\" id=\"forminator-field-text-31_69f72ee235973-label\" class=\"forminator-label\">How did you hear about Shore Beach Service? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-31\" value=\"\" placeholder=\"example: Instagram, Facebook, coach, friend\" id=\"forminator-field-text-31_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-145--page-3\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-145--page-3-label\" aria-hidden=\"true\" data-step=\"3\" data-label=\"Page  3\" data-name=\"\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-14\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-14\"><label class=\"forminator-label\">SIGNATURE<\/label><div class=\"fox-item fox-item-html fox-item-html-labels control-group\">\n<h2>SIGNATURE<\/h2>\n<p>I, the undersigned, do certify that I have truthfully answered all questions on this application to the best of my ability.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-32\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-32_69f72ee235973\" id=\"forminator-field-text-32_69f72ee235973-label\" class=\"forminator-label\">Your Name in Full - <strong>THIS WILL SERVE AS YOUR SIGNATURE<\/strong><\/label><input type=\"text\" name=\"text-32\" value=\"\" placeholder=\"Name in Full\" id=\"forminator-field-text-32_69f72ee235973\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><input type=\"hidden\" id=\"hidden-1_69f72ee235973\" name=\"hidden-1\" value=\"05\/03\/2026\" \/><\/div><div class=\"forminator-row\"><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Submit<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"d903817094\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/140\" \/><input type=\"hidden\" name=\"form_id\" value=\"145\"><input type=\"hidden\" name=\"page_id\" value=\"140\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/shorebeach.com\/index.php\/application\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Footer&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;b536d0c3-875c-4b83-ae7a-9fe6ad12dbdd&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_4,1_2,1_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/shorebeach.com\/wp-content\/uploads\/2025\/11\/triple-logo-scaled.png&#8221; title_text=&#8221;triple logo&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#FFFFFF&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: center;\">116 Arrow Road\u00a0 \u2022\u00a0 Hilton Head Island, SC 29928<br \/>Phone: (843)785-3494\u00a0 \u2022\u00a0 Fax: (843)785-2023\u00a0 \u2022\u00a0 office@shorebeach.com<\/p>\n<p style=\"text-align: center;\">[\/et_pb_text][et_pb_social_media_follow _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_orientation=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_social_media_follow_network social_network=&#8221;facebook&#8221; url=&#8221;https:\/\/www.facebook.com\/ShoreBeachService\/&#8221; icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; background_enable_color=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; follow_button=&#8221;off&#8221; url_new_window=&#8221;on&#8221;]facebook[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=&#8221;instagram&#8221; url=&#8221;https:\/\/www.instagram.com\/shorebeachservice\/&#8221; icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; background_enable_color=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; follow_button=&#8221;off&#8221; url_new_window=&#8221;on&#8221;]instagram[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=&#8221;twitter&#8221; url=&#8221;https:\/\/x.com\/ShoreBeachSvc&#8221; icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; background_enable_color=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; follow_button=&#8221;off&#8221; url_new_window=&#8221;on&#8221;]X[\/et_pb_social_media_follow_network][\/et_pb_social_media_follow][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"forminator-ui forminator-custom-form forminator-custom-form-145 forminator-design--default  forminator_ajax\" data-forminator-render=\"1\" data-form=\"forminator-module-145\" data-uid=\"69f72ee273b7d\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-145\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-145 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"1\"\n\t\t\t\tdata-form-id=\"145\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69f72ee273b7d\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-145--page-0\" class=\"forminator-pagination forminator-pagination-start\" aria-labelledby=\"forminator-custom-form-145--page-0-label\" data-step=\"0\" data-label=\"Finish\" data-name=\"page-break-3\"><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69f72ee273b7d\" id=\"forminator-field-date-1-picker_69f72ee273b7d-label\" class=\"forminator-label\">Starting Date of Availability <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_69f72ee273b7d\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_69f72ee273b7d\" id=\"forminator-field-date-2-picker_69f72ee273b7d-label\" class=\"forminator-label\">Ending Date of Availability <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-2-picker_69f72ee273b7d\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69f72ee273b7d\" id=\"forminator-field-first-name-1_69f72ee273b7d-label\" class=\"forminator-label\">First <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"E.g. John\" id=\"forminator-field-first-name-1_69f72ee273b7d\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69f72ee273b7d\" id=\"forminator-field-last-name-1_69f72ee273b7d-label\" class=\"forminator-label\">Last <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"E.g. Doe\" id=\"forminator-field-last-name-1_69f72ee273b7d\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69f72ee273b7d\" id=\"forminator-field-text-1_69f72ee273b7d-label\" class=\"forminator-label\">Height<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69f72ee273b7d\" id=\"forminator-field-text-2_69f72ee273b7d-label\" class=\"forminator-label\">Weight<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-145__field--select-1_69f72ee273b7d\" id=\"forminator-form-145__field--select-1_69f72ee273b7d-label\" class=\"forminator-label\">Gender<\/label><select  id=\"forminator-form-145__field--select-1_69f72ee273b7d\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-145__field--select-1_69f72ee273b7d-label\"><option value=\"female\"  data-calculation=\"0\">Female<\/option><option value=\"male\"  data-calculation=\"0\">Male<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_69f72ee273b7d\" id=\"forminator-field-date-3-picker_69f72ee273b7d-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-3-picker_69f72ee273b7d\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69f72ee273b7d\" id=\"forminator-field-text-3_69f72ee273b7d-label\" class=\"forminator-label\">US Social Security Number<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"US Social Security Number\" id=\"forminator-field-text-3_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69f72ee273b7d\" id=\"forminator-field-text-4_69f72ee273b7d-label\" class=\"forminator-label\">Driver&#039;s License Number<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Driver&#039;s License Number\" id=\"forminator-field-text-4_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69f72ee273b7d\" id=\"forminator-field-text-5_69f72ee273b7d-label\" class=\"forminator-label\">State of Issue<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"State of Issue\" id=\"forminator-field-text-5_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-picker_69f72ee273b7d\" id=\"forminator-field-date-4-picker_69f72ee273b7d-label\" class=\"forminator-label\">Expiration Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-4\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-4-picker_69f72ee273b7d\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69f72ee273b7d\" id=\"forminator-field-phone-1_69f72ee273b7d-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-1_69f72ee273b7d\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69f72ee273b7d\" id=\"forminator-field-email-1_69f72ee273b7d-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69f72ee273b7d\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69f72ee273b7d\" id=\"forminator-field-text-6_69f72ee273b7d-label\" class=\"forminator-label\">Mailing Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Mailing Address\" id=\"forminator-field-text-6_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_69f72ee273b7d\" id=\"forminator-field-text-7_69f72ee273b7d-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"City\" id=\"forminator-field-text-7_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_69f72ee273b7d\" id=\"forminator-field-text-8_69f72ee273b7d-label\" class=\"forminator-label\">State <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"State\" id=\"forminator-field-text-8_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_69f72ee273b7d\" id=\"forminator-field-text-9_69f72ee273b7d-label\" class=\"forminator-label\">Zip<\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"Zip\" id=\"forminator-field-text-9_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><\/div><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-145--page-1\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-145--page-1-label\" aria-hidden=\"true\" data-step=\"1\" data-label=\"Page  1\" data-name=\"page-break-4\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">REQUIREMENTS<\/label><p><strong>REQUIREMENTS<\/strong><\/p>\n<p>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.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><label class=\"forminator-label\">LIFEGUARDING<\/label><p>LIFEGUARDING<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_69f72ee273b7d\" id=\"forminator-field-text-10_69f72ee273b7d-label\" class=\"forminator-label\">Lifeguard Certifying Agency<\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"Lifeguard Certifying Agency\" id=\"forminator-field-text-10_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"date-5\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-5-picker_69f72ee273b7d\" id=\"forminator-field-date-5-picker_69f72ee273b7d-label\" class=\"forminator-label\">Lifeguard Expiration Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-5\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-5-picker_69f72ee273b7d\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><label class=\"forminator-label\">CPR<\/label><p><strong>CPR<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_69f72ee273b7d\" id=\"forminator-field-text-11_69f72ee273b7d-label\" class=\"forminator-label\">CPR Certifying Agency<\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"CPR Certifying Agency\" id=\"forminator-field-text-11_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"date-6\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-6-picker_69f72ee273b7d\" id=\"forminator-field-date-6-picker_69f72ee273b7d-label\" class=\"forminator-label\">CPR Expiration Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-6\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-6-picker_69f72ee273b7d\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_69f72ee273b7d\" id=\"forminator-field-textarea-1_69f72ee273b7d-label\" class=\"forminator-label\">List any other certifications or training you may have that would be applicable to this job.<\/label><textarea name=\"textarea-1\" placeholder=\"Other certifications or training\" id=\"forminator-field-textarea-1_69f72ee273b7d\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69f72ee273b7d-label\"><span id=\"forminator-radiogroup-radio-1-69f72ee273b7d-label\" class=\"forminator-label\">Have you received Hepatitis B vaccinations? Vaccination is not required for employment. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69f72ee273b7d\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69f72ee273b7d\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><label class=\"forminator-label\">Sports Physical<\/label><p><strong>Evidence of a sports physical received within the last year is required prior to employment as a lifeguard.<\/strong><\/p>\n<p>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.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-7\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-7-picker_69f72ee273b7d\" id=\"forminator-field-date-7-picker_69f72ee273b7d-label\" class=\"forminator-label\">Date of Last Physical<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-7\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-7-picker_69f72ee273b7d\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_69f72ee273b7d\" id=\"forminator-field-upload-1_69f72ee273b7d-label\" class=\"forminator-label\">Select files to attach. Size limit gor each file is 5 MB.<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_69f72ee273b7d\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_69f72ee273b7d\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_69f72ee273b7d_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_69f72ee273b7d\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69f72ee273b7d-label\"><span id=\"forminator-radiogroup-radio-2-69f72ee273b7d-label\" class=\"forminator-label\">Do you have any physical impairments\/conditions that could limit your job performance? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69f72ee273b7d\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69f72ee273b7d\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_69f72ee273b7d\" id=\"forminator-field-textarea-2_69f72ee273b7d-label\" class=\"forminator-label\">If yes, please explain<\/label><textarea name=\"textarea-2\" placeholder=\"If yes, please explain\" id=\"forminator-field-textarea-2_69f72ee273b7d\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69f72ee273b7d-label\"><span id=\"forminator-radiogroup-radio-3-69f72ee273b7d-label\" class=\"forminator-label\">Have you ever been convicted of driving under the influence of drugs or alcohol? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69f72ee273b7d\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-69f72ee273b7d\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69f72ee273b7d\" id=\"forminator-field-textarea-3_69f72ee273b7d-label\" class=\"forminator-label\">If yes, please explain<\/label><textarea name=\"textarea-3\" placeholder=\"If yes, please explain\" id=\"forminator-field-textarea-3_69f72ee273b7d\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-69f72ee273b7d-label\"><span id=\"forminator-radiogroup-radio-4-69f72ee273b7d-label\" class=\"forminator-label\">Do you have housing for the summer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-69f72ee273b7d\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-4\" value=\"Independent\" id=\"forminator-field-radio-4-1-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-69f72ee273b7d\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"Enrolled\" id=\"forminator-field-radio-4-2-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-69f72ee273b7d-label\"><span id=\"forminator-radiogroup-radio-5-69f72ee273b7d-label\" class=\"forminator-label\">Will you have a vehicle for the summer? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-69f72ee273b7d\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-5\" value=\"Has Vehicle\" id=\"forminator-field-radio-5-1-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-69f72ee273b7d\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"No\" id=\"forminator-field-radio-5-2-69f72ee273b7d\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-145--page-2\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-145--page-2-label\" aria-hidden=\"true\" data-step=\"2\" data-label=\"Page  2\" data-name=\"page-break-6\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><label class=\"forminator-label\">HISTORY<\/label><p><strong>HISTORY<\/strong><br><strong>EDUCATION<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_69f72ee273b7d\" id=\"forminator-field-text-12_69f72ee273b7d-label\" class=\"forminator-label\">High School Attended <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"High School Attended\" id=\"forminator-field-text-12_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_69f72ee273b7d\" id=\"forminator-field-text-13_69f72ee273b7d-label\" class=\"forminator-label\">Highest Grade Level Completed <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"Highest Grade Level Completed\" id=\"forminator-field-text-13_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_69f72ee273b7d\" id=\"forminator-field-text-14_69f72ee273b7d-label\" class=\"forminator-label\">College<\/label><input type=\"text\" name=\"text-14\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-14_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_69f72ee273b7d\" id=\"forminator-field-text-15_69f72ee273b7d-label\" class=\"forminator-label\">Highest Grade Level Completed<\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"E.g. text placeholder\" id=\"forminator-field-text-15_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><label class=\"forminator-label\">Work History<\/label><p><strong>List work history including part-time jobs and volunteer work.<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><label class=\"forminator-label\">Employer 1<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_69f72ee273b7d\" id=\"forminator-field-text-16_69f72ee273b7d-label\" class=\"forminator-label\">Name of Organization<\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"Name of Organization\" id=\"forminator-field-text-16_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_69f72ee273b7d\" id=\"forminator-field-text-17_69f72ee273b7d-label\" class=\"forminator-label\">Dates of Employment<\/label><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"Dates of Employment\" id=\"forminator-field-text-17_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_69f72ee273b7d\" id=\"forminator-field-phone-2_69f72ee273b7d-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-2_69f72ee273b7d\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_69f72ee273b7d\" id=\"forminator-field-text-18_69f72ee273b7d-label\" class=\"forminator-label\">City &amp; State<\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"City &amp; State\" id=\"forminator-field-text-18_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_69f72ee273b7d\" id=\"forminator-field-text-19_69f72ee273b7d-label\" class=\"forminator-label\">Starting Salary<\/label><input type=\"text\" name=\"text-19\" value=\"\" placeholder=\"Starting Salary\" id=\"forminator-field-text-19_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_69f72ee273b7d\" id=\"forminator-field-text-20_69f72ee273b7d-label\" class=\"forminator-label\">Ending Salary<\/label><input type=\"text\" name=\"text-20\" value=\"\" placeholder=\"Ending Salary\" id=\"forminator-field-text-20_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69f72ee273b7d\" id=\"forminator-field-textarea-4_69f72ee273b7d-label\" class=\"forminator-label\">Reason for Leaving<\/label><textarea name=\"textarea-4\" placeholder=\"Reason for Leaving\" id=\"forminator-field-textarea-4_69f72ee273b7d\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-21\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-21_69f72ee273b7d\" id=\"forminator-field-text-21_69f72ee273b7d-label\" class=\"forminator-label\">Supervisor&#039;s Name<\/label><input type=\"text\" name=\"text-21\" value=\"\" placeholder=\"Supervisor&#039;s Name\" id=\"forminator-field-text-21_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_69f72ee273b7d\" id=\"forminator-field-textarea-5_69f72ee273b7d-label\" class=\"forminator-label\">Description of Duties<\/label><textarea name=\"textarea-5\" placeholder=\"Description of Duties\" id=\"forminator-field-textarea-5_69f72ee273b7d\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><label class=\"forminator-label\">Employer 2<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-22\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-22_69f72ee273b7d\" id=\"forminator-field-text-22_69f72ee273b7d-label\" class=\"forminator-label\">Name of Organization<\/label><input type=\"text\" name=\"text-22\" value=\"\" placeholder=\"Name of Organization\" id=\"forminator-field-text-22_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-23\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-23_69f72ee273b7d\" id=\"forminator-field-text-23_69f72ee273b7d-label\" class=\"forminator-label\">Dates of Employment<\/label><input type=\"text\" name=\"text-23\" value=\"\" placeholder=\"Dates of Employment\" id=\"forminator-field-text-23_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-3\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-3_69f72ee273b7d\" id=\"forminator-field-phone-3_69f72ee273b7d-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-3\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-3_69f72ee273b7d\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-24\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-24_69f72ee273b7d\" id=\"forminator-field-text-24_69f72ee273b7d-label\" class=\"forminator-label\">City &amp; State<\/label><input type=\"text\" name=\"text-24\" value=\"\" placeholder=\"City &amp; State\" id=\"forminator-field-text-24_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-25\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-25_69f72ee273b7d\" id=\"forminator-field-text-25_69f72ee273b7d-label\" class=\"forminator-label\">Starting Salary<\/label><input type=\"text\" name=\"text-25\" value=\"\" placeholder=\"Starting Salary\" id=\"forminator-field-text-25_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-26\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-26_69f72ee273b7d\" id=\"forminator-field-text-26_69f72ee273b7d-label\" class=\"forminator-label\">Ending Salary<\/label><input type=\"text\" name=\"text-26\" value=\"\" placeholder=\"Ending Salary\" id=\"forminator-field-text-26_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-6\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-6_69f72ee273b7d\" id=\"forminator-field-textarea-6_69f72ee273b7d-label\" class=\"forminator-label\">Reason for Leaving<\/label><textarea name=\"textarea-6\" placeholder=\"Reason for Leaving\" id=\"forminator-field-textarea-6_69f72ee273b7d\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-27\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-27_69f72ee273b7d\" id=\"forminator-field-text-27_69f72ee273b7d-label\" class=\"forminator-label\">Supervisor&#039;s Name<\/label><input type=\"text\" name=\"text-27\" value=\"\" placeholder=\"Supervisor&#039;s Name\" id=\"forminator-field-text-27_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-7\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-7_69f72ee273b7d\" id=\"forminator-field-textarea-7_69f72ee273b7d-label\" class=\"forminator-label\">Description of Duties<\/label><textarea name=\"textarea-7\" placeholder=\"Description of Duties\" id=\"forminator-field-textarea-7_69f72ee273b7d\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><label class=\"forminator-label\">References<\/label><p><strong>References<\/strong><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><label class=\"forminator-label\">Reference 1<\/label><p>Reference 1<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69f72ee273b7d\" id=\"forminator-field-name-2_69f72ee273b7d-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-2_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-29\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-29_69f72ee273b7d\" id=\"forminator-field-text-29_69f72ee273b7d-label\" class=\"forminator-label\">Relationship<\/label><input type=\"text\" name=\"text-29\" value=\"\" placeholder=\"Relationship\" id=\"forminator-field-text-29_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-5\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-5_69f72ee273b7d\" id=\"forminator-field-phone-5_69f72ee273b7d-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-5\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-5_69f72ee273b7d\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-3\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-3_69f72ee273b7d\" id=\"forminator-field-email-3_69f72ee273b7d-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-3\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-3_69f72ee273b7d\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><label class=\"forminator-label\">Reference 2<\/label><p>Reference 2<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69f72ee273b7d\" id=\"forminator-field-name-3_69f72ee273b7d-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-3_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-30\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-30_69f72ee273b7d\" id=\"forminator-field-text-30_69f72ee273b7d-label\" class=\"forminator-label\">Relationship<\/label><input type=\"text\" name=\"text-30\" value=\"\" placeholder=\"Relationship\" id=\"forminator-field-text-30_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-6\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-6_69f72ee273b7d\" id=\"forminator-field-phone-6_69f72ee273b7d-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-6\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-6_69f72ee273b7d\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-4\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-4_69f72ee273b7d\" id=\"forminator-field-email-4_69f72ee273b7d-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-4\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-4_69f72ee273b7d\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><label class=\"forminator-label\">Reference 3<\/label><p>Reference 3<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_69f72ee273b7d\" id=\"forminator-field-name-4_69f72ee273b7d-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-4_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-28\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-28_69f72ee273b7d\" id=\"forminator-field-text-28_69f72ee273b7d-label\" class=\"forminator-label\">Relationship<\/label><input type=\"text\" name=\"text-28\" value=\"\" placeholder=\"Relationship\" id=\"forminator-field-text-28_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-4\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-4_69f72ee273b7d\" id=\"forminator-field-phone-4_69f72ee273b7d-label\" class=\"forminator-label\">Phone<\/label><input type=\"text\" name=\"phone-4\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-4_69f72ee273b7d\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_69f72ee273b7d\" id=\"forminator-field-email-2_69f72ee273b7d-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-2_69f72ee273b7d\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_69f72ee273b7d\" id=\"forminator-field-textarea-8_69f72ee273b7d-label\" class=\"forminator-label\">Write a brief summary about the abilities and attributes you can offer Shore Beach Service <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-8\" placeholder=\"Summary of abilities and attributes\" id=\"forminator-field-textarea-8_69f72ee273b7d\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" aria-describedby=\"forminator-field-textarea-8_69f72ee273b7d-description\" ><\/textarea><span id=\"forminator-field-textarea-8_69f72ee273b7d-description\" class=\"forminator-description\">Response will be screened by AI detection tools<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-31\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-31_69f72ee273b7d\" id=\"forminator-field-text-31_69f72ee273b7d-label\" class=\"forminator-label\">How did you hear about Shore Beach Service? <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-31\" value=\"\" placeholder=\"example: Instagram, Facebook, coach, friend\" id=\"forminator-field-text-31_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><\/div><\/div><div tabindex=\"-1\" role=\"tabpanel\" id=\"forminator-custom-form-145--page-3\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-145--page-3-label\" aria-hidden=\"true\" data-step=\"3\" data-label=\"Page  3\" data-name=\"\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-14\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-14\"><label class=\"forminator-label\">SIGNATURE<\/label><div class=\"fox-item fox-item-html fox-item-html-labels control-group\">\n<h2>SIGNATURE<\/h2>\n<p>I, the undersigned, do certify that I have truthfully answered all questions on this application to the best of my ability.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-32\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-32_69f72ee273b7d\" id=\"forminator-field-text-32_69f72ee273b7d-label\" class=\"forminator-label\">Your Name in Full - <strong>THIS WILL SERVE AS YOUR SIGNATURE<\/strong><\/label><input type=\"text\" name=\"text-32\" value=\"\" placeholder=\"Name in Full\" id=\"forminator-field-text-32_69f72ee273b7d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><input type=\"hidden\" id=\"hidden-1_69f72ee273b7d\" name=\"hidden-1\" value=\"05\/03\/2026\" \/><\/div><div class=\"forminator-row\"><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Submit<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"d903817094\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/140\" \/><input type=\"hidden\" name=\"form_id\" value=\"145\"><input type=\"hidden\" name=\"page_id\" value=\"140\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/shorebeach.com\/index.php\/application\/\"><input type=\"hidden\" name=\"render_id\" value=\"1\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>116 Arrow Road\u00a0 \u2022\u00a0 Hilton Head Island, SC 29928Phone: (843)785-3494\u00a0 \u2022\u00a0 Fax: (843)785-2023\u00a0 \u2022\u00a0 office@shorebeach.com<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-140","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/shorebeach.com\/index.php\/wp-json\/wp\/v2\/pages\/140","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shorebeach.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shorebeach.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shorebeach.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/shorebeach.com\/index.php\/wp-json\/wp\/v2\/comments?post=140"}],"version-history":[{"count":8,"href":"https:\/\/shorebeach.com\/index.php\/wp-json\/wp\/v2\/pages\/140\/revisions"}],"predecessor-version":[{"id":618,"href":"https:\/\/shorebeach.com\/index.php\/wp-json\/wp\/v2\/pages\/140\/revisions\/618"}],"wp:attachment":[{"href":"https:\/\/shorebeach.com\/index.php\/wp-json\/wp\/v2\/media?parent=140"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}