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____________________________________________________________

