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All Seasons Center Staff Application

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Lifeguard/WSI Application
ASC/City of Sioux Center
770 7th Street NE, Sioux Center IA 51250
E-mail: asc@allseasonscenter.org
Phone: (712) 722-4386
Personal Data:
Name:*
Home Address:*
Phone Number(s):*
Date of Birth:*
E-mail Address:*
Parent's Email address if under 18
Who referred you to work at the ASC?
Position you are applying for:*
1. Lifeguard
2. Swim Instructor
3. Shift Supervisor
Training:
Please provide a copy of the following certifications.
Date of Lifeguard Training:*
Lifeguard certification copy
Date of CPR/First Aid Training:*
CPR/First Aid certification copy
Are you WSI certified?*
1. Yes
2. No
If yes, date of training:
List any other specialized training you may have: (Please provide a copy of your current certifications)
Other certification copies:
Working Hours:
How many hours a week would you be willing/interested in working?
Would you be willing to work occasional Sunday afternoons?*
1. Yes
2. No
List your preferred hours of work:
Employee Questions:
Comment on why you want to work as a summer staff member at the All Seasons Center and what qualities you have that would make you a good (great) employee?*
Name:*
Date:*