Employment Opportunities Applicant InfoName First Last Cell PhoneAddress Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Birth Date MM slash DD slash YYYY Social Security #PositionPosition(s) applying for: Lifeguard (cert required) Lifeguard (cert needed) Gate Guard (age 14) Shirt SizePlease select one Small Medium Large XL Men's Suit SizePlease only select a suit size if you are applying for a lifeguard position Small Medium Large XL Women's Suit SizePlease only select a suit size if you are applying for a lifeguard postion Small - Top Small - Bottom Medium - Top Medium - Bottom Large - Top Large - Bottom XL - Top XL - Bottom Who Referred you?Please write the name of the person who referred you to the position at PSCCertificationsCertification/License UploadsLifeguard Certification or Aqua Aerobics CertificationUpload a PDF of your lifeguard or Aqua Aerobics certification here.Max. file size: 10 MB.Certification DateEnter either the expiration date of your current lifeguard certification or the completion date of a future certification. MM slash DD slash YYYY Employment HistoryCurrent or Most Recent Employer First Last Employer Phone NumberPlease List ReferencesReference NameReference PhoneReference Email SignatureBy signing this application I understand that, as a condition of my employment, I will adhere to the rules and regulations of PSC.Parent/Guardian AuthorizationParent/Guardian AuthorizationApplicants under age 18 must supply parent/guardian name and contact information to be considered.Parent/Guardian Name First Last Parent/Guardian Phone NumberParent/Guardian Email Address CAPTCHAOrder Token