Date

MM

DD

YYYY

Your Name *

First Name

Last Name

Phone *

(Best number to contact you at during normal business hours [9am-5pm])

(###)

###

####

Have you ever been employed before? *

Yes

No

Do you enjoy any of the following activities?

Arts and Crafts

Boogie Boarding

Organizing Bins and Supplies

Taking Photos

Posting on Social Media

Entertaining a large group of people (Llike an MC)

Which of our beach locations are you interested in working at? (Check all that apply). *

El Segundo

Manhattan Beach

Redondo Beach

As a kid or young adult, did you participate in L.A. County's Junior Lifeguard program? *

Yes

No

Do you hold any of the following licenses or certifications (Valid through 08/31/2024)?

CPR Card

Lifeguard Certification

EMT License

Teaching Credential