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Lifeguard/WSI Application

  1. Lifeguard/WSI Application

  2. ASC/City of Sioux Center

  3. 770 7th Street NE, Sioux Center IA 51250

  4. E-mail:
    Phone: (712) 722-4386

  5. Personal Data:

  6. Have you worked at the All Seasons Center in the past?*

  7. Training:

  8. Please provide a copy of the following certifications.

  9. Are you WSI certified?*

  10. Working Hours:

  11. Would you be willing to work early morning lap swim hours?*

  12. Would you be willing to work occasional Sunday afternoons?*

  13. Would you be interested in helping with custodial duties?*

  14. Education:

  15. References:

  16. Name, City, Telephone Number

  17. Employee Questions:

  18. Leave This Blank:

  19. This field is not part of the form submission.