Marion Park District Pool
500 East DeYoung St
Marion, IL 62959

Pool Application Form

Please fill out the following application.
Someone will contact you concerning your request.
Thank you for your interest in the Marion Park District Pool.



All Fields Required
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Phone #:
E-mail Address:
Position Desired:
guard concession assistant manager
Year in School:
freshman sophmore junior senior graduate year

 

Employment History:

Reference Name:
Reference Occupation:
Reference Phone:
2nd Reference Name:
2nd Reference Occupation:
2nd Reference Phone:
3rd Reference Name:
3rd Reference Occupation:
3rd Reference Phone:

 

Certifications (list date of expiration):

 

Check ALL that apply:

Lifeguard Training CPR-PR Comm. First Aid WSI (optional) Other AED LGI

 

Lifeguard Experience:

 

Swim Instruction Experience:

 

Certifications/Awards/Hobbies (interests):

Date Available to Start (mm/dd/yyyy):

 

Dates unavailable due to planned vacation/returning to college, etc:

Hours per week desired:
I certify that the facts set forth on this application are true and complete. I understand that false statements may be considered sufficient cause for rejection.