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1981
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County where license was obtained:
Water Safety Instructor Expiration Date:
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1990
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1986
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1982
1981
1980
Lifeguard Training Instructor Expiration Date:
Month
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2012
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2009
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1997
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1995
1994
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1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Previous Swimming Pool Experience:
Do you have previous experience working at a swimming pool as a lifeguard or in another aquatics position?
Yes, I have experience
No, I have no experience
Company Name:
Supervisor's Name:
Position Held:
Assigned Pool:
Supervisor/Company Phone:
Approximate Start Date
Month
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2
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4
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11
12
Day
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2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Approximate End Date
Month
1
2
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4
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7
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10
11
12
Day
1
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Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Reason for Leaving:
Select One:
I am done entering information on my swimming pool experience
I want to enter another position I held at a swimming pool
Company Name:
Supervisor's Name:
Position Held:
Assigned Pool:
Supervisor/Company Phone
Approximate Start Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
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Year
2018
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2016
2015
2014
2013
2012
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2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Approximate End Date
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
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3
4
5
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31
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Reason for Leaving:
Additional Information:
Have you ever filed an application with Community Pool Service before?
Yes
No
Year application was submitted:
Have you ever been employed by Community Pool Service before?
Yes
No
Approximate Start Date (Month, Year)
Approximate End Date (Month, Year)
Community Pool Service pool assigned:
What position are your applying for?
Lifeguard
Supervisor
Pool Manager
Lifeguard Instructor
Staffer
What type of position are your applying for?
Part Time
Full Time
Is there a specific area or pool you are applying for?
I have an area preference
I have a pool preference
Area (County or City)
Pool Name
Pool Location (City, State)
Are you available through Labor Day?
Yes
No
Preferred Start Date:
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
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6
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19
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21
22
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25
26
27
28
29
30
31
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Preferrred End Date:
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
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8
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11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Do you want to upload a resume?
Yes
No
Upload your resume
Optional Comments:
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