Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Emergency Parent / Guardian Phone Contact

⚠️ Minor (under 18) applications submitted without a valid parent / guardian contact can not be accepted.

(###)

###

####

Birth Date *

• 15 is the minimum age to lifeguard at a beachside pool with A.L.A. • 16 is the minimum age to lifeguard on the beach with A.L.A.

MM

DD

YYYY

Mailing Address *

• This address will be used for tax and mailing purposes.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Choose your primary A.L.A sectors. *

• This pertains to where you will be scheduled. • Multiple may be chosen, often by those who live equal distances between Long Branch and Mantoloking/Seaside.

Long Branch (Beaches)

Long Branch (Pools)

Mantoloking/Seaside Heights (Beaches)

What date can you begin? *

⚠️ Please be as accurate as possible. • Weekend shifts begin Memorial Day weekend. • Full-time shifts begin mid-June.

MM

DD

YYYY

What is your weekly availability? *

⚠️ Your chosen hours threshold must be achieved weekly throughout your employment.

20-30hrs weekly (3 - 4 shifts)

30-40hrs weekly (4 - 5 shifts)

What is the last date you can work? *

⚠️ Please be as accurate as possible in accounting for college, high school, sports seasons, vacations, etc. • Full-time shifts conclude Labor Day.

MM

DD

YYYY

❗By checking this box, if hired, I agree to the employment parameters I have selected in the fields below.❗ *

⚠️ Please review the following fields for accuracy: ❗ What date can you begin? ❗ What is your weekly availability? ❗ What is the last date you can work?

I agree to these terms of employment.

Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Emergency Parent / Guardian Phone Contact

⚠️ Minor (under 18) applications submitted without a valid parent / guardian contact can not be accepted.

(###)

###

####

Birth Date *

• 15 is the minimum age to lifeguard at a beachside pool with A.L.A. • 16 is the minimum age to lifeguard on the beach with A.L.A.

MM

DD

YYYY

Mailing Address *

• This address will be used for tax and mailing purposes.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Choose your primary A.L.A sectors. *

• This pertains to where you will be scheduled. • Multiple may be chosen, often by those who live equal distances between Long Branch and Mantoloking/Seaside.

Long Branch (Beaches)

Long Branch (Pools)

Mantoloking/Seaside Heights (Beaches)

What date can you begin? *

⚠️ Please be as accurate as possible. • Weekend shifts begin Memorial Day weekend. • Full-time shifts begin mid-June.

MM

DD

YYYY

What is your weekly availability? *

⚠️ Your chosen hours threshold must be achieved weekly throughout your employment.

20-30hrs weekly (3 - 4 shifts)

30-40hrs weekly (4 - 5 shifts)

What is the last date you can work? *

⚠️ Please be as accurate as possible in accounting for college, high school, sports seasons, vacations, etc. • Full-time shifts conclude Labor Day.

MM

DD

YYYY

❗By checking this box, if hired, I agree to the employment parameters I have selected in the fields below.❗ *

⚠️ Please review the following fields for accuracy: ❗ What date can you begin? ❗ What is your weekly availability? ❗ What is the last date you can work?

I agree to these terms of employment.

Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Name *

First Name

Last Name

Phone

(###)

###

####

Preferred Contact Method *

Email

Text

Call

Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Mailing Address *

• This address will be used for tax and mailing purposes.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birth Date *

• 14 is the minimum age to badge check with A.L.A.

MM

DD

YYYY

Choose your primary A.L.A sectors *

• This pertains to where you will be scheduled. • Both may be chosen, often by those who live equal distances from both.

Mantoloking

Ortley

What date can you begin? *

⚠️ Please be as accurate as possible. • Limited weekend shifts begin Memorial Day weekend. • Most weekend shifts begin Father's Day weekend.

MM

DD

YYYY

How many shifts per week are you available? *

• Mantoloking shifts are weekends and holidays only. • Limited weekday positions are available in Ortley. • Shifts average 4-8 hours.

1

2

3

4

5

What is the last date you can work? *

• Shifts conclude Labor Day weekend.

MM

DD

YYYY

Name *

First Name

Last Name

Emergency Parent / Guardian Phone Contact

⚠️ Minor (under 18) applications submitted without a valid parent / guardian contact can not be accepted.

(###)

###

####

Choose your primary A.L.A sectors *

• This pertains to where you will be scheduled. • Both may be chosen, often by those who live equal distances from both.

Mantoloking

Ortley

What date can you begin? *

⚠️ Please be as accurate as possible. • Limited weekend shifts begin Memorial Day weekend. • Most weekend shifts begin Father's Day weekend.

MM

DD

YYYY

How many shifts per week are you available? *

• Mantoloking shifts are weekends and holidays only. • Limited weekday positions are available in Ortley. • Shifts average 4-8 hours.

1

2

3

4

5

What is the last date you can work? *

• Shifts conclude Labor Day weekend.

MM

DD

YYYY

Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Name *

First Name

Last Name

Phone

(###)

###

####

Preferred Contact Method *

Email

Text

Call