DYNAMO POOL MANAGEMENT IS AN EQUAL OPPORTUNITY EMPLOYER.
It is our policy to abide by all federal and state laws prohibiting employment discrimination solely on the basis of a person’s race, color, creed, national origin, religion, age (over 40), sex, marital status, or physical or mental disability, except where a reasonable, bona fide occupational qualification exists.

Name:

Social Security Number: Fax Copy of Social Security Card to 770.451.6571

Address:
City, State, Zip:
Email Address:
Cellphone No:      Home Phone No:

Are you a United States Citizen?
Yes
No (If no, please fax your Alien Registration Card to 770.451.6571)

Position Applying for:
Lifeguard		Supervisor
Swim Instructor		Lifeguard Training Instructor
Water Safety Instructor		Other

Availability

Check the following options you would consider (Summer Jobs):
Full Time
Part Time

Date Available (mm/dd/yyyy):

Hours available per week:

	Mon	Tues	Wed	Thurs	Fri	Sat	Sun
From:	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm
To:	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm	Any No 12am 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm

Do you have any commitments to another employer that might affect your employment with Dynamo Pool Management?

Certifications

American Red Cross (or equivalent) Lifeguard Training Course:		Yes No
American Red Cross (or equivalent) CPR:		Yes No
American Red Cross (or equivalent) First Aid:		Yes No
Valid Driver's License:		Yes No (Please fax a copy to 770.451.6571)

Education

High School/GED:
School Name:      Year Graduated:

College:
School Name:      Year Graduated:
Degree:
Degree Received? Yes No

Activities/Interests/Hobbies (Student, Professional, Community, etc.)

Medical

Do you agree to take a medical exam related to the essential requirements of the position?
Yes
No

Employment History

Most Recent Job Held:
Name of Employer:
Address:
City, State, Zip:
Dates Employed From (mm/yyyy) - To (mm/yyyy):
Telephone Number:       May we contact? Yes No
Your Position:
Brief Description of Duties:
Reason for Leaving:
Starting Salary:       Last Salary:

Previous Employment:
Name of Employer:
Address:
City, State, Zip:
Dates Employed From (mm/yyyy) - To (mm/yyyy):
Telephone Number:       May we contact? Yes No
Your Position:
Brief Description of Duties:
Reason for Leaving:
Starting Salary:       Last Salary:

References: (Please do not list relatives or former employers.)

Name:      Phone Number:

Name:      Phone Number:

Person to be notified in case of emergency:

Name:      Phone Number:

I hereby certify that to the best of my knowledge and belief the answers given by me to the foregoing questions and all statements made by me in the application are correct.

If employed, I agree that I will not work for any customers of the company on my off hours without first obtaining consent from the company. I also agree that I will not work for any current or past customer of the company after my termination with the company for the current and following swim seasons.

I hereby apply for employment upon the basis and understanding that such employment is seasonal and may be terminated at any time upon notice given to me personally or sent to my last known address.

We appreciate your interest in seeking employment with us – please feel free to make any additional remarks in the space provided below or attach any additional information that would be helpful in evaluating your application.