Staff Application | Badger Learn to Swim

Administrative Information

Name*

First Last

Email*

Please use an email address that is checked on a daily basis

Date of Birth*

Cell Phone*

Home Phone

Address*

Street Address City State / Province / Region ZIP / Postal Code

Are you legally authorized to work in the U.S.?*

Shirt Size*

Check the Certifications you currently hold

WSI
Lifeguard
RTE
RN
First Aid
CPR
EMT

Tell us about you

Have you been employed at Badger previously?*

Check the position(s) you are applying for:*

Swim Staff
Other

Please explain why you are applying for a position with Badger Swimming:*

Work Experience

Add up to 3 most recent positions using the + sign on the right

Name of Employer	Employment dates	Position

References

Reference 1*

Name	Relationship	Email	Phone

Reference 2*

Name	Relationship	Email	Phone

Legal Information

Please carefully read the following statements and answer the questions below

1. Workplace Authorization

I authorize investigation of all statements herein, including any checks of criminal records, and release Badger Swimming, Inc. and all others from liability in connection with same. I understand that, if employed, I will be an at-will employee unless there is an agreement or law which alters that status. Furthermore, I understand that any agreement must be in writing and signed by a designated official. I also understand that untrue, misleading, or omitted information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery by Badger Swimming, Inc.

Do you accept the workplace authorization policy?*

I accept the workplace authorization policy as described above

2. Criminal Background

Have you ever been convicted of a crime, other than a minor traffic offense?*

Please describe your conviction*

Note: a prior conviction is not an automatic bar to employment. The type of conviction or accusation and when it occurred will be evaluated by Badger Swimming, Inc. before any decision is made

3. Harassment Policy

Badger Swimming Inc's policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and other forms of harassment.

Have you ever been accused of harassment of any person including, but not limited to workplace harassment?*

Note: a prior accusation or conviction is not an automatic bar to employment. The type of conviction or accusation and when it occurred will be evaluated by Badger Swimming, Inc. before any decision is made.

Acceptance and Signature

I have read and agree to statements 1, 2 & 3 above.*

Signature

Today's Date*