Page 3 - Lifeguard Application
P. 3

WORK HISTORY:  LIST PRESENT (or most recent)  EMPLOYMENT FIRST AND WORK BACK
               THROUGH THE PREVIOUS POSITIONS HELD.

               1.  NAME AND ADDRESS OF EMPLOYER_____________________________________________

               _________________________________________  TELEPHONE NO._______________________

               DATES OF EMPLOYMENT__________________ POSITION TITLE________________________

               BEGINNING SALARY______________________ PRESENT SALARY_______________________

               NAME AND TITLE OF SUPERVISON_________________________________________________

               DESCRIPTION OF DUTIES AND RESPONSIBILITIES____________________________________

               _______________________________________________________________________________

               REASON FOR LEAVING____________________________________________________________



               2.  NAME AND ADDRESS OF EMPLOYER_____________________________________________

               _________________________________________  TELEPHONE NO._______________________

               DATES OF EMPLOYMENT__________________ POSITION TITLE________________________

               BEGINNING SALARY______________________ PRESENT SALARY_______________________

               NAME AND TITLE OF SUPERVISON_________________________________________________

               DESCRIPTION OF DUTIES AND RESPONSIBILITIES____________________________________

               _______________________________________________________________________________

               REASON FOR LEAVING____________________________________________________________



               3.  NAME AND ADDRESS OF EMPLOYER_____________________________________________

               _________________________________________  TELEPHONE NO._______________________

               DATES OF EMPLOYMENT__________________ POSITION TITLE________________________

               BEGINNING SALARY______________________ PRESENT SALARY_______________________

               NAME AND TITLE OF SUPERVISON_________________________________________________

               DESCRIPTION OF DUTIES AND RESPONSIBILITIES____________________________________

               _______________________________________________________________________________

               REASON FOR LEAVING____________________________________________________________
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