Employment Application

I am applying for (check all that apply):

Swim School Pre-Competitive DACA Office Staff
Summer Swim Coaching Staff Volunteer

Date
Name
Phone Number
Address 1
Address 2
City State Zip
E-mail address
In case of emergency, notify (name)    (phone)
Are you a past DACA Employee? Yes No


Work Experience
Please list most applicable:

  Business Name
  Supervisor Name:    Phone:
  Pay Rate
  Dates Employed
  Duties Performed
  Reason for Leaving

  Business Name
  Supervisor Name:    Phone:
  Pay Rate
  Dates Employed
  Duties Performed
  Reason for Leaving

  Business Name
  Supervisor Name:    Phone:
  Pay Rate
  Dates Employed
  Duties Performed
  Reason for Leaving
May we contact your current employer? Yes No



Education
Please list schools attended starting with most recent:

  School
  Dates Attended From:    To:
  Graduated Yes   No
  Degree

  School
  Dates Attended From:    To:
  Graduated Yes   No
  Degree

  School
  Dates Attended From:    To:
  Graduated Yes   No
  Degree


Special Activities? (Civic, Athletic, Swimming etc...)



Availability:
Please list the days and times during the week you are able to commit to work (for Swim School and Pre-Competitive Instructor applicants only)
(The DACA Swim School is open M-F 6:30am-9:30pm, Sat-Sun 7am-6:30pm /Coaching requires evening and weekend):

  Monday
  Tuesday
  Wednesday
  Thursday
  Friday
  Saturday
  Sunday



Attach resumé (optional):