Application Form

We are excited about your interest in joining Hawaii Swim Clinic! Please fill out the form below and our staff will be in touch once you application has been reviewed.

Applicant Name

First Name

Last Name

Date of Birth

YYYY

Email Adrress

Phone

(###)

###

####

Preferred contact method

Education level completed

Highschool/ GED

Associate's degree (2 yr)

Bachelor's degree (4 yr)

Master's degree

List your top three strengths

Work Experience #1

Date started- Date ended

Job title

Job description

Work Experience #2

Date started- Date ended

Job Title

Job Description

Reference

First Name

Last Name

Relationship

Phone

(###)

###

####

Are you lifeguard certified?

Have you ever been convicted of a crime?

Have you ever been fired from a previous employement?