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CHRC Application - Lifeguard
Name
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Today's Date
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Email Address
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Phone Number
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Address
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School and Work Experience >
Do you have current lifeguard certification?
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Yes
No
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Are you presently employed?
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Yes
No
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Current Job Details
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Do you authorize us to contact your present employer as a reference?
(*)
Yes
No
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Work Experience
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Current/Past Education
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Current/Last School Level
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Personal Health
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I acknowledge that if I am offered a position with Cottonwood Heights Parks and Recreation Service Area (CHPRSA), my employment may be conditioned upon the results of a criminal background investigation, medical examination, drug tests and/or job related physical ability tests.
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< Work & School
Availability >
When would you be available to start working?
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Shifts Desired
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Part-Time
Seasonal
Part-Time&Seasonal
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Certificate of Application
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I certify that all information provided in this application (and attached resume/applicable documents) is accurate
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Shifts/times that you will work
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Mornings
Afternoons
Evenings
Holidays
Weekends
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Minimum Age Requirement
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I certify that I am 15 years of age or older
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Referral source
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Resume Upload
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Additional Docs
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Additional Docs, 2
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< Work and School
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