Required to Send Application (*)

NOTE: If you are running a firewall such as Norton, you must disable it to send this Application.

POSITION INTEREST (please check at least one)

- Gate Attendant - Lifeguard - Pool Manager - Swim Lesson Instructor - Service Technician - Other

PERSONAL INFORMATION

*Your Full Name (As it appears on your Social Security Card):
*Prefer to be called by:
*Address (summer):
*City:
*State:
*Zip Code:
*Phone:
Are you at least 15 years old?:	Yes        No
*Email Address:

CERTIFICATIONS: Are you currently certified in the following?

Lifeguarding	Yes          No	if yes, when does your certification expire?
First Aid	Yes          No	if yes, when does your certification expire?
CPR - Professional Rescuer	Yes          No	if yes, when does your certification expire?
Lifeguard Instructor (LGI)	Yes          No	if yes, when does your certification expire?
Water Safety Instructor (WSI)	Yes          No	if yes, when does your certification expire?
Other Certifications

AVAILABILITY

Are you interested in working at a certain facility?
What Major intersection are you close to?
Do you have transportation to work?	Yes     No
What is the date you can start work?
What will be your last day of work?

EDUCATION

High School:	Grade Point Average:
College:	Grade Point Average:	Major:
Clubs, Sports, Activities:
Awards, Honors, and Leadership Roles held:

WORK EXPERIENCE (List most recent job first. Please include any lifeguard experience you have)

MOST RECENT EMPLOYMENT
Company Name:
Your Position:
Dates Worked
Your Supervisor Info	Name:     Phone:
Your major job duties:
SECOND MOST RECENT EMPLOYMENT
Company Name:
Your Position:
Dates Worked
Your Supervisor Info	Name:     Phone:
Your major job duties:
THIRD MOST RECENT EMPLOYMENT
Company Name:
Your Position:
Dates Worked
Your Supervisor Info	Name:     Phone:
Your major job duties:

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

Name:	Phone #:	Years Known:	Profession:
Name:	Phone #:	Years Known:	Profession:
Name:	Phone #:	Years Known:	Profession:

MISCELLANEOUS INFORMATION

How did you hear about Indianapolis Pool Management?	Friend Teacher Ad in Newspaper Flyer Other   If Other:
Emergency Notification:	Name
	Home Phone #
	Work Phone #
	Cell Phone #

You must check the box below in order to submit your application

If you do not receive a response from this application within 48hrs, please contact us at hr@indypoolmgt.com

I UNDERSTAND THAT MY EMPLOYMENT WILL BE STRICTLY SUMMER EMPLOYMENT, AND I WILL NOT FILE FOR UNEMPLOYMENT WHEN MY EMPLOYMENT ENDS.

NOTE: If you are running a firewall such as Norton, you must disable it to send this Application.

Indianapolis Pool Management, Inc. is an Equal Opportunity Employer, offering employment without regard to race, color, religion, sex, national origin, age, sexual orientation, disability, citizenship or military/veteran status. We reserve the right to terminate any employee at any time for any reason pursuant to Indiana law.