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408-378-4181
4750 Bucknall Rd, San Jose, CA 95130
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Form – Employment Application
Personal Information
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
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District of Columbia
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Ohio
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South Carolina
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Texas
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Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Mobile Phone
(Required)
Birthdate
(Required)
MM slash DD slash YYYY
Must be at least 15 years old by February 23rd and currently a freshman in high school
Current School/College
(Required)
What year are you in school?
(Required)
9th
10th
11th
12th
13th
14th
15th
16th
HS: 9-12th; College: 13-16th
Favorite Sea Creature
(Required)
Shirt Size
(Required)
XS
S
M
L
XL
XXL
Emergency Contact Information
Emergency Contact
(Required)
First
Last
Phone Number
(Required)
Position & Availability
Returning Staff?
(Required)
Yes
No
Employment Interest
(Required)
Lifeguard
Swim Instructor
Select All
Check all applicable
Will you be available for a training on June 11th for all lifeguards?
(Required)
Yes
No
Will you be available for a mandatory training June 9-11th for all new lifeguards?
(Required)
Yes
No
Will you be available for a mandatory training June 12th for all swim instructors?
(Required)
Yes
No
Availability
(Required)
Spring (April-May)
Summer(Jun-Aug)
Fall (Sep-Oct)
Affiliation and Membership
Member of Westgate Cabana Club
(Required)
Yes
No
Member of Gators Swim Team
(Required)
Yes
No
Certifications and Swim Experience
Lifeguard Certification Status
(Required)
None
Expired
Certified but expires before Oct
Certified through Oct
Westgate Cabana Club requires
American Red Cross Lifeguarding (including deep water) with CPR/AED for professional rescuers and First Aid
certification.
If you are not Lifeguard Certified through October, then please indicate in the Comments section whether you will get certified. We plan to offer a class on site in March.
LG Cert Expiration
(Required)
MM slash DD slash YYYY
Attach Certification
(Required)
Max. file size: 5 MB.
Briefly describe your swim experience (ie swim team, water polo, etc)
(Required)
Water Skills
Swim 300 meters continuously
Tread water for 2 minutes
Please indicate which skill(s) you can do today
Resume
Attach Resume
(Required)
Max. file size: 5 MB.
Please include a summary of school achievements, work experience, and extracurricular activities such as volunteer work, sports, school clubs.
This is an example resume you can use to help you with your own.
Download Resume
Policy Agreement
Car License Plate
If you plan to drive to work, please provide your vehicle details. Only park in the Baker parking lots or on the street next to the school or pool. No parking in front of or next to homes as this jeopardizes our Conditional Use Permit. Thank you!
Car Make
Car Model
Liability Release Policy
(Required)
I agree to the terms of the liability release policy.
I am aware that participation in activities, including, but not limited to swimming and other water activities (hereinafter, the “Activities”) at the Westgate Cabana Club (WCC) may involve risks and possible injury associated with swimming pools and water, and that I (the “Participant”) are voluntarily participating in the Activities with knowledge of the danger involved and the inherent risks of personal injury, property damage or death, including losses arising from, but not limited to participation in WCC programs and activities, classes, swim team, parties, events, observation, use of the facilities, premises or equipment, which may result not only from my own actions, inaction, or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the event or activity is being conducted, and/or the rules of play of this type of event or activity. Furthermore, I agree to indemnify and hold harmless the Westgate Cabana Club, its Board of Directors, agents, consultants, employees, and volunteers from any and all liability for any injury which may be suffered by myself registered in any program or activity operated by the Westgate Cabana Club, arising out of, or in any way connected with participation in such program or activity.
As the Participant, I have read this Agreement and fully understand its content and the terms and conditions outlined in the WCC Pool Rules in connection with my participation in the program or activity. I also agree that if any portion of this Agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect. Furthermore, the significance of this release of liability and assumption of risk agreement has been explained to me and I understand that this agreement is a waiver of liability and certain legal rights, and I have entered into the agreement freely and voluntarily.
Emergency Medical Treatment Policy
(Required)
I agree to the terms of emergency medical treatment.
In the event of an accident or acute illness, I hereby authorize Westgate Cabana Club to secure required medical attention for myself, if unable to communicate with me. Furthermore, I agree that this authorization shall apply whether the charges are covered by me or by my insurance. I agree that I am responsible for any and all expenses incurred for this medical treatment.
Photo/Video Release
(Required)
I agree to the terms of photo/video release.
Photos and videos may also be posted on the website at westgatecabana.com. I understand that there may be photos and videos taken while participating in at Westgate Cabana Club. The Westgate Cabana Club, volunteers, swimmers and staff, have my permission to use these photos on the website and other Westgate Cabana Club marketing materials. I understand that I may contact the Aquatics Director, in writing if I would like a photo of myself removed from these sources.
Employee Signature
(Required)
By signing above, I certify that the information provided is accurate, and I acknowledge and agree to the policies and terms outlined in this application.
Parent/Guardian Signature (Required if the employee is under 18 years of age)
(Required)
By signing above, I agree to the terms and conditions of this application and certify my consent for the minor's employment.
Interview Availability
Interviews will take place on March 14th and 15th on Zoom. Please mark the date(s) and time(s) you are available.
(Required)
March 14 (8am-12pm)
March 15 (8am-12pm)
Select All
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