Employment Application

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Form filled out Date and time
Applicant Information
First Name*
Middle Name(s)
Last Name*
Social Security Number*
Personal Information
Are you at least 18 years of age?*
Have you ever plead guilty, no contest, or been convicted of a crime?*
Please explain.*
What is the highest level of education you have completed?*
Area(s) of Study
Contact Information
Phone Number*
Email Address*
Street Address*
City*
State*
ZIP Code*
Employment Information
Available Hours Per Week*
Desired Hours Per Week*
Pay Range Expected*
Date Available to Start*
MM slash DD slash YYYY
Schedule Availability (For Swim Instructor Applicants ONLY)*
- Monday, 3:45 PM - 7:00 PM
- Tuesday, 3:45 PM - 7:00 PM
- Wednesday, 3:45 PM - 7:00 PM
- Thursday, 3:45 PM - 7:00 PM
- Saturday, 8:15 AM - 1:00 PM
- Sunday, 2:25 PM - 5:00 PM
Referral Information
How did you hear about us?*
Other
Were you referred by someone?*
Name(s)
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(480) 961-7946 (SWIM)

Gold Medal Swim School
6909 West Ray Road #27,
Chandler, AZ 85226