Name: ___________________________________________________ Date of Birth _________          Age____________________________

Address:__________________________________________City/State _________Country___________________Email________________

Telephone No.: ________________________   Work Phone No.:____________                   SS#___________________________________

Drivers License No.: _____________________________State ___________________________________Country_____________________         

Emergency Contact:_____________________________________________________ ________________Phone:______________________

Do you wear glasses, contacts, or have any physical ailments we should be aware of?  If so, please describe _________________

_______________________________________________________________________________________________________

Can you swim 500 meters in 10 muinutes?_____________________________

Height:___________               Weight:_____________              Hair color:____________

Related Certifications & Training:

Are you currently lifeguard certified?_______________________  By what agency?__________________________________________

Are you currently CPR (BLS or PR) certified? ________________By what agency? _________________________________________

List any other qualifications that might be helpful______________________________________________________________________

Employment History:  List last employer’s name, address, phone, dates of hire, supervisor, position held, and reason for leaving.                          

_________________________________________________________________________________________________________________

 

Reference:  List name, address, and phone numbers of one reference.

_________________________________________________________________________________________________________________

 

Education:  List school name, address, phone number, dates attended, subject and if graduated.

High School_______________________________________________________________________________________________________

Technical_________________________________________________________________________________________________________

College___________________________________________________________________________________________________________

Other_____________________________________________________________________________________________________________

Additional Information:

Have you ever been arrested?  (If yes, please explain.)__________________________________________________________

Can you work through Labor Day?  (If no, please explain.)

 

If additional space is needed, please use the back of this application.

 

 

This application is no guarantee of employment.  Any false or misleading information is justification for immediate termination.  All training is conducted on applicant’s own time.  All training and work may be physically demanding.  Beach Services Ltd. accepts no responsibility  or liability for any injuries incurred during training.  You may be required to submit to a background check, drug screening. and polygraph test prior to employment and at random any time during employment.  I understand any failure to comply or a positive drug screening will be justification for immediate termination.

 

 

 

________________________________________________                                             _________________________________

Signature of applicant                                                                                     Date Signed

 

BY SIGNING THIS APPLICATION YOU AGREE TO ALLOW ANY STATE, CITY OR FEDERAL AGENCY TO RELEASE ANY RECORDS THEY MAY HAVE ON FILE.

IMPORTANT

Earliest Arrival Date

__________/ ___________

      Month       Day

                  

      

IMPORTANT

PRINT and MAIL with

2 RECENT PHOTOS

For ID cards.

BEACH SERVICES LTD.

P.O. Box 14249     216 S. Poplar Dr.

Surfside Beach, SC  29575  USA

Phone (843) 238-4083       Fax (843)238-9888

abigham@sc.rr.com

 

EMPLOYMENT APPLICATION

Date of Application_____________________       Position Desired_____________________________