Apply Online Online Application Please use this form to apply online for a rewarding opportunity with Jeff Kelly inc. Required fields are marked with an *. Position(s) of Interest*Position *Swim InstructorPool ManagerLifeguardWaterslide Attendant Personal InformationFirst Name *Middle Name Last Name *Street Address *Apt, Suite, Bldg. (optional) City *State *KSMOOption 3Zip *Cell phone *Include area code and hyphens. Ex: 913-123-4567.Home Phone Include area code and hyphens. Ex: 913-123-4567.Email *I will be 15 years old by May 23, 2020 *YesNoPlease provide the following information if you are not yet 18.Age if younger than 18 Parent/Guardian 1 Name Parent/Guardian 1 Cell Phone Include area code and hyphens. Ex: 913-123-4567.Parent/Guardian 1 Email Parent/Guardian 2 Name Parent/Guardian 2 Cell Phone Include area code and hyphens. Ex: 913-123-4567.Parent/Guardian 2 Email EducationHigh School Grade Point Average Anticipated/Actual Graduation Year (yyyy) University 1 Grade Point Average Anticipated/Actual Graduation Year (yyyy) University 2 Grade Point Average Anticipated/Actual Graduation Year (yyyy) Degree Graduate Studies Clubs, Sports, Activities Awards, Honors Leadership Positions CertificationsPlease indicate the status of your certification(s): *I DO have a current certification and I will provide additional information below.I do NOT have a current certification, but I am enrolled in a course and will provide additional information below.I do NOT have a current certification and I am NOT enrolled in a course yet.Current Certification Select Your CertificationLifeguardLifeguard InstructorCPR\AEDExpiration Date (mm/dd/yy) Current Certification Select Your CertificationLifeguardLifeguard InstructorCPR\AEDExpiration Date (mm/dd/yy) Current Certification Select Your CertificationLifeguardLifeguard InstructorCPR\AEDExpiration Date (mm/dd/yy) I am enrolled in a certification course at this facility: Date Course Will be Completed (mm/dd/yy) Work Experience 1: Please list most recent employment first.Company Name Employment Start Date (mm/dd/yy) Employment End Date (mm/dd/yy) Position(s) Responsibilities: Supervisor's Name Contact Number Include area code and hyphens. Ex: 913-123-4567. Work Experience 2: Please list most recent employment first.Company Name Employment Start Date (mm/dd/yy) Employment End Date (mm/dd/yy) Position(s) Responsibilities: Supervisor's Name Contact Number Include area code and hyphens. Ex: 913-123-4567. Work Experience 3: Please list most recent employment first.Company Name Employment Start Date (mm/dd/yy) Employment End Date (mm/dd/yy) Position(s) Responsibilities: Supervisor's Name Contact Number Include area code and hyphens. Ex: 913-123-4567. References: Please do not list relatives.Name Phone Number Include area code and hyphens. Ex: 913-123-4567.Relationship Name Phone Number Include area code and hyphens. Ex: 913-123-4567.Relationship RelevanceMotivation for seeking a position(s) with Jeff Kelly inc.? *Compatibility: Please describe WHY the position(s) for which you are applying would be ideal for you. *Availability: Based on what you know now regarding your summer plans, what is the first available day you can start? What is your last available day? When do you have vacations/summer camps planned? *Desired Hours Per Week *Please refer to employment pages for more information regarding shifts and expectations.10-15 hours per week15-20 hours per week20-25 hours per week25-30 hours per week30-35 hours per week35-40 hours per weekExperience with children: Please share anything that would be helpful to us when considering your application: How did you learn of Jeff Kelly inc.? * VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: