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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:
*
Lifeguard
Swim Instructor
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?
*
Yes
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?
*
Yes
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:
*
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