Stuart Heights Lifeguard Application
Summer 2023
Name: ____________________________ Application Date: _______________
Address: ______________________________________________________________________
Cell number: ______________________ Email Address: ______________________________
Date of Birth: ______________________ Current Age: ______________
Grade in August: 9th 10th 11th 12th
Year in College: Freshman Sophomore Junior Senior Super Senior
LIFEGUARD INFORMATION
Date of Lifeguard Certification :__________ Years of experience:_______
SUMMER AVAILABILITY
Dates you are available to work this summer: FROM: ___/___ TO: ___/___ ( the pool is open from 5/27 to 9/4)
How many hours a week would you like to work? ______
Any dates (vacation, college orientation, sports, etc.) that you are NOT available to work this
summer:
Please submit to stuartheights@yahoo.com and also text a picture to Phil Lesselroth at 423-400-2757
