Personal Data

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* 1. What aquatics job are you applying for?

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* 2. First Name

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* 3. Last Name

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* 4. Gender

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

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* 6. Summer Address

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* 7. City

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* 8. State

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* 9. Zipcode

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

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* 11. Mobile Phone Number

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* 12. Home Phone Number

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* 13. Social Security Number

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* 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

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* 15. Emergency Contact First Name

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* 16. Emergency Contact Last Name

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* 17. Emergency Contact Phone Number 1

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* 18. Emergency Contact Phone Number 2

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* 19. T-Shirt Size

T