Aqua Management life guard Application:

Applicant Name ( Last Name , First ):
Home Address (include Zip Code) :
Home Phone Number ( No dashes ):
Cell Phone Number ( No dashes ):
    Carrier ( Needed for SMS texts ):
Email Address:
Date of Birth:
/ /
Social Security Number ( No dashes ):
High School & Year Graduating:
College, City / State & Next Semester Attending:
Other School:
Emergency Contacts:
( Please provide 2 Names , Addresses and Cell phone numbers )
Required Certifications ( Check and fill in appropriate dates):
    Basic Lifeguarding ( 3 years ):

          Expiration Date:
/ /
    CPR Basic Life Support for Professional     Rescuer w/AED endorsement ( 1 Year ):

          Expiration Date:
/ /
    American Red Cross Standard First Aid:

          Expiration Date:
/ /
    American Heart Associations CPR:

          Expiration Date:
/ /
Experience and other classes not mentioned above:
Transportation Method:
How many days per week do you prefer to work:
List any days of week you cannot work and include reason:
If attending college in Fall, please list move-in date and first day of classes:
IMPORTANT NOTE: After you submit this application, you will be taken to Aqua's introductory guidebook. You are to read this guide and follow the directions on the last page. This will direct you to a 20 question quiz on the material you will have just read. Please register and complete the quiz.