2016 Magic Waters/Aquatics Rehire Survey

This information must be submitted by December 15, 2014. If you have any questions, please contact Terri Ekberg at 815-969-4093 or terriekberg@rockfordparkdistrict.org

Question Title

* 1. Please enter the information indicated below:

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:

Last Name:

Email Address:

Zip Code:

Home Phone:

Cell Phone:

Question Title

* 2. Date of Birth:

Date:

Date

Question Title

* 3. Primary Position:

Alpine Pool Guest Relations

Sand Park Pool Guest Relations

Harkins Pool Guest Relations

Magic Waters Guest Relations

Magic Waters Customer Service

Thank you for completing the Re- Hire information.

Question Title

* 1. Please enter the information indicated below:By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

Question Title

* 2. Date of Birth:

Question Title

* 3. Primary Position:

* 1. Please enter the information indicated below:

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.