Name
*
First Name
Last Name
Phone
*
(###)
###
####
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
DOB
*
Date of Birth
MM
DD
YYYY
Available Start Date
*
MM
DD
YYYY
T-Shirt Size
*
XS, Ladies
S, Ladies
M, Ladies
L, Ladies
XL, Ladies
XXL, Ladies
S, Mens
M, Mens
L, Mens
XL, Mens
XXL, Mens
Legal Resident
*
Are you a legal United States resident?
Driver's License
*
Do you have a valid Driver's License?
Transportation
*
Do you have reliable transportation?
Do you have at lease two years of swim lesson instruction or swim coaching experience?
*
Don't worry if you don't. We'll provide paid training if need be.
Age Range Comfortably
*
What age ranges of swimmers do you feel comfortable teaching or coaching? Check all that apply.
Days & Times
*
What days and times are you available to teach or coach? You can say things like, "Only Saturday mornings," or "M-W 4 pm-6 pm", or "Wide Open", etc.
Background Check
Are you willing to allows us to do a criminal and sex offender background check on you?
Certifications
*
List all of your current certifications (if applicable): Lifeguard, CPR, AED, First Aid, WSI, etc. If you don't have any, say "None".
Swim Instructor Training Acknowledgment
*
Do you acknowledge and understand the above instruction training information?
Reference Name
*
First Name
Last Name
Reference Phone
*
(###)
###
####
Reference Email
*
Tell us more about your relationship with your professional reference.
*
Reference Name
*
First Name
Last Name
Reference Phone
*
(###)
###
####
Reference Email
*
Tell us more about your relationship with your personal reference.
*
Subcontractor Acknowledgment
*
Our Private Swim Lesson Instructors and Swim Team Coaches are 1099 subcontractors, which means we do not take out taxes. You will be issued a 1099 at the end of the year. All of our subcontractors are covered under our liability insurance, and all clients must sign our robust waiver that also releases all subcontractors from liability.
Do you understand the subcontractor information provided above?
By clicking the box below, I certify that the information contained in this application is correct to the best of my knowledge. I understand that falsifying information is grounds for refusing to hire me for my services or discharge me should I be hired.
*
Type your name for signature
*
First Name
Last Name
Date of signature
*
MM
DD
YYYY
Name
First and last name of the person that referred you.
First Name
Last Name
Phone
Phone number of the person that referred you.
(###)
###
####
