Sample Page

Lifeguard Application Form

Please Complete All Information in English

Personal Information

Please Enter your name as it appears on your passport

First Name*
Last Name*
Middle Initial
Name prefer to be called by
Home Address*
Address
City*
Country*
Post Code*
Home E-mail Address*
Alternate E-mail Address

Availability Position applying for
Which PMG city would you like to work in?*
Date you plan to ARRIVE in the US? (mm/dd/yy)*
Date you must RETURN home? (mm/dd/yyyy)*
Date available to START work in US:*
Date you will FINISH work in US:*
Do you have a Work & Travel AgentYesNo*
Who is your Work & Travel Agent?
Do you currently have a work visa?YesNo*
What type of visa do you have?J-1H2-B*

School Experience University
Major
Grade Point Average

(freshman, sophomore, etc.)

Year
Clubs, activities, sports, etc.

Work Experience

(Please include any lifeguard experience you have)

Have you worked in the US before?YesNo*
Who did you work for in the US?
What were the responsibilities for this position?

Employer #1 Company Name
Your Position
Your supervisor's phone number
Start Date: (mm/dd/yyyy)
End Date: (mm/dd/yyyy)
Your major job duties:

Employer #2 Company Name
Your Position
Your supervisor's phone number
Start Date: (mm/dd/yyyy)
End Date: (mm/dd/yyyy)
Your major job duties:

References

List people other than family and peers. Use at least one teacher or coach.

Reference #1 Name
Profession
Phone Number
Years Know

Reference #2 Name
Profession
Phone Number
Years Know

Miscellaneous Information How did you hear about The Pool Management Group?
Other than for work, have you ever been in the US?YesNo
For what reason did you travel to the US?
Emergency Phone Number

I UNDERSTAND THAT MY EMPLOYMENT WILL BE STRICTLY TEMPORARY SUMMER EMPLOYMENT, AND I, THEREFORE, WILL NOT FILE FOR UNEMPLOYMENT WHEN MY EMPLOYMENT ENDS.I agreeI disagree*

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