Co-Op Summer 2017 Aquatics Jobs - Application Personal Data Question Title * 1. What aquatics job are you applying for? Lifeguard Aquatics Program Supervisor Question Title * 2. First Name Question Title * 3. Last Name Question Title * 4. Gender Male Female Prefer not to say/other Question Title * 5. Birthdate - NOTE: Lifeguards must be 16 before July 1st to apply; Supervisor must be 18 before July 1st to apply. (MM/DD/YYYY) Question Title * 6. Summer Address Question Title * 7. City Question Title * 8. State Question Title * 9. Zipcode Question Title * 10. E-mail Address (do not give us a mamkschools.org student address) Question Title * 11. Mobile Phone Number Question Title * 12. Home Phone Number Question Title * 13. Social Security Number Question Title * 14. Please upload a head shot for our staff page on the website. It does not need to be professional. Just fun, good exposure and current. JPG, JPEG file types only. Choose File Choose File No file chosen Remove File Please upload a head shot for our staff page on the website. It does not need to be professional. Just fun, good exposure and current. Question Title * 15. Emergency Contact First Name Question Title * 16. Emergency Contact Last Name Question Title * 17. Emergency Contact Phone Number 1 Question Title * 18. Emergency Contact Phone Number 2 Question Title * 19. T-Shirt Size Women's Small Women's Medium Women's Large Women's X-Large Women's 2X-Large Men's Small Men's Medium Men's Large Men's X-Large Men's 2X-Large Next