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Board of Directors

Rules & Regulations

Board of Directors

Rules & Regulations

Board of Directors

Rules & Regulations

Employment

Employment

Employment

Positions for the 2026 Season include: Concession Stand, Lifeguard, Gate Guard, and Maintenance

Employment

Full Name(Required)

First MI Last

Today's Date

MM slash DD slash YYYY

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Date Available

MM slash DD slash YYYY

SS No.

Position Applied For(Required)

Desired Salary

Are you a citizen of the United States?

Yes

No

If no, are you authorized to work in the US?

Yes

No

Have you ever worked for this company?

Yes

No

If yes, when?

Have you ever been convicted of a felony?

Yes

No

If yes, explain?

Education

High School

High School Address

Street Address City State ZIP Code

Dates Attended: (From – To)

Did you graduate high school?

Yes

No

Diploma

College

College Address

Street Address City State ZIP Code

Dates Attended: (From – To)

Did you graduate college?

Yes

No

Degree

Other

Address

Street Address City State ZIP Code

Dates Attended: (From – To)

Did you graduate?

Yes

No

College Degree

References

Please list three professional references.

Reference #1 Name(Required)

First Last

Relationship(Required)

Company(Required)

Reference #1 Phone(Required)

Reference #1 Address(Required)

Street Address City State ZIP Code

Reference #1 Email(Required)

Reference #2 Name

First Last

Relationship

Company

Reference #2 Phone

Reference #2 Address

Street Address City State ZIP Code

Reference #2 Email

Reference #3 Name

First Last

Relationship

Company

Reference #3 Phone

Reference #3 Address

Street Address City State ZIP Code

Reference #3 Email

Previous Employment

Company #1 Name

Company #1 Phone

Company #1 Address

Street Address City State ZIP Code

Company #1 Supervisor

Supervisor Phone

Your Job Title

Your Responsibilities

Dates Worked at Company (From – To)

May we contact your previous supervisor for a reference?

Yes

No

Company #2 Name

Company #2 Phone

Company #2 Address

Street Address City State ZIP Code

Company #2 Supervisor

Supervisor Phone

Your Job Title

Your Responsibilities

Dates Worked at Company (From – To)

May we contact your previous supervisor for a reference?

Yes

No

Company #3 Name

Company #3 Phone

Company #3 Address

Street Address City State ZIP Code

Company #3 Supervisor

Supervisor Phone

Your Job Title

Your Responsibilities

Dates Worked at Company (From – To)

May we contact your previous supervisor for a reference?

Yes

No

Military Service

Branch

Rank at discharge:

Type of discharge:

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are ture and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature(Required)

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About
Board of Directors
Our Beach

Contact

Email: swfbpc.office@gmail.com

Phone: 815-237-8640

Location

South Wilmington Firemen's Beach & Park Club

P.O. Box 201South WilmingtonIL60474

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