Employment Application Step 1 of 6 16% Applicant InformationName* First Last Phone*Email* Enter Email Confirm Email How did you learn about A&BHave you ever been convicted of a felony?* Yes No Employment InterestWhat Position(s) You Are Applying For?* Lifeguard Lesson Instructor Swim Team Head Coach Assistant Coach Swimming Pool Technician Other Please check all that apply.Expectations*Please describe your expectations for this job. What do you expect to learn, what responsibility would you like to have? How many hours do you hope to work? EducationHighest Grade Level Achieved* 9th Grade 10th Grade 11th Grade 12th Grade Freshman Sophomore Junior Senior Please indicate your most recently completed grade.Highest Degree Earned High School / GED Associates Degree Bachelors Degree Masters Degree Ph.D. Please indicate your most recently completed degree.Favorite Class, Why?*Degree / Major DescriptionExtracurricular Activities*Awards*Hobbies*ExperiencePrevious Employment*This would be my first jobOne Previous JobTwo Previous JobsThree or More Previous JobsPlease indicate how many jobs you have had in the pastRelevant CertificationsExample: Lifeguard, water safetySpecial Training Work History Job #1Job Title* Employeer* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Supervisor Name* Supervisor's PhoneWage Rate* Responsibilities*Reason for Leaving*Additional Information Work History Job 2Job Title* Employeer* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Supervisor Name* Supervisor's PhoneWage Rate* Responsibilities*Reason for Leaving*Additional Information Work History Job 3Job Title* Employeer* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Supervisor Name* Supervisor's PhoneWage Rate* Responsibilities*Reason for Leaving*Additional Information Personal ReferencesPlease provide 3 non-related, personal references, include teachers, neighbors, other adult acquaintances.*Additional ExperienceVolunteer service, positions of responsibility in school, ect.Summer PlansKnown/Expected Vacation Dates*Hours you are unavailable to work.*CommentsThis field is for validation purposes and should be left unchanged.