Personal Data

* 1. What aquatics job are you applying for?

* 2. First Name

* 3. Last Name

* 4. Gender

* 5. Birthdate - NOTE: Lifeguards must be 16 before July 1st to apply; Supervisor must be 18 before July 1st to apply. (MM/DD/YYYY)

* 6. Summer Address

* 7. City

* 8. State

* 9. Zipcode

* 10. E-mail Address (do not give us a mamkschools.org student address)

* 11. Mobile Phone Number

* 12. Home Phone Number

* 13. Social Security Number

* 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.
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* 15. Emergency Contact First Name

* 16. Emergency Contact Last Name

* 17. Emergency Contact Phone Number 1

* 18. Emergency Contact Phone Number 2

* 19. T-Shirt Size

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