Hastings Water 

Works

Lifeguard Employment Form

* = required field
Full Name *
Street Address *
City *
Zip Code *
Phone *
Primary Email *
Are you a certified lifeguard
If yes, by whom?
U.S. Citizen?
If not a U.S. Citizen, can you work in the U.S.?
How did you hear about us? *
Job History: Company/Title
Job Description
Years (ex. 2007-2008)
Reference: Name/Company
Reference: Phone

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10331 Brecksville Rd. Brecksville, Oh 44141 | 440-832-7700

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