Name(Required) First Middle Last Email(Required) Home Address(Required) Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone(Required)Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Name of Emergency Contact* If applicant is under 18 years of age First Last Phone or Email of Emergency Contact* If applicant is under 18 years of age Position Desired(Required)LifeguardHead GuardAssistant ManagerManagerGate GuardOtherWhat is your pool preference?(please list name of pool if known) Were you a DRD employee in the last 2 years?(Required) Yes No HiddenSection BreakHow did you hear about DRD Pools?(Required)Select OneFriendFamily MemberPoster at schoolEvent at schoolJob FairInternet Hiring Site (Indeed, etc.)Social Media (Facebook, Instagram, etc.)Street/Vehicle SignageCommunity PoolOtherWho referred you?(Required) Please Specify(Required) HiddenSection BreakName of School(Required) Which job fair?(Required) Which platform?(Required) Are you able to swim 100 yards using freestyle, front crawl, or breast stroke?(Required) Yes No Not sure (will need some practice) Do you have a current lifeguard certification?(Required) Yes No What is the expiration date of your lifeguard license or certificate? Name of High School High School Year of Graduation Name of College/University College/University Year of Graduation By signing below, I acknowledge and agree with each of the following statements: I have completed this application for employment myself and the information I have provided is true and correct to the best of my knowledge. False information, or misrepresentation or omission of facts, shall be cause for rejection of this application or termination, if I am hired. If I am hired, my employment will be “at will.” This means either DRD Pool Management, Inc. (“DRD”), or I can terminate my employment at any time, for any reason or no reason, without notice. I authorize DRD to verify the information provided on this application and I release all references, prior employers and other parties from any liability that may result from responding to any requests for information about me by DRD. DRD may also require the successful completion of a background check including, but not limited to, a review of my criminal record and other relevant information, as a condition of employment, at its discretion. Under Maryland Law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that of an individual submit to or take a polygraph examination or similar test. An employer who violates this law is guilty of a misdemeanor and subject to fine not exceeding $100. Date(Required) MM slash DD slash YYYY Signature(Required)If applicant is under 18, signature of parent/guardian:Date MM slash DD slash YYYY Parent SignaturePrint Name Relationship to Applicant NameThis field is for validation purposes and should be left unchanged. Δ
