Island Aquatics NJ, LLC Employment ApplicationFill the form below accurately indicating your potentials and suitability to job applying for. Name * First Name Last Name Email * Phone * (###) ### #### Date of Birth * MM DD YYYY Summer Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Winter Address If different from Summer Address Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about us? * Referral Social Media LinkedIn Indeed Google Other Do you have a current American Red Cross Lifeguard Certification? * Yes No Do you have experience as a certified lifeguard, youth sports instructor/coach, camp counselor and/or childcare provider? Yes No Which days are you available to work? * Select all days Monday Tuesday Wednesday Thursday Friday Saturday Sunday Do you have a valid Drivers Licenses? * Yes No Please list any experience you may have with swim lessons. * Teaching, competitive experience, etc. References Please list two (2) references that are familiar with your work life. Name Phone Number Relationship to Reference Thank you!