Learn to Surf LA

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Employment Application

Please Complete All Fields

Personal Information:

Name
Primary Phone (Preferably Cell)
Secondary Phone (Home/Work/etc.)
E-Mail Address
Street Address
Address 2 (Apt/Suite)
City
State
Zip Code
Emergency Contact Name
Emergency Contact Number

Personal References:
Provide the following information for 3 references:

Position and Availability:

Position(s) Applying For	Surf Instructor Surf Camp Counselor Surf Camp Coordinator
Indicate Your Availability Below
Sunday	A.M. P.M. All Day None
Monday	A.M. P.M. All Day None
Tuesday	A.M. P.M. All Day None
Wednesday	A.M. P.M. All Day None
Thursday	A.M. P.M. All Day None
Friday	A.M. P.M. All Day None
Saturday	A.M. P.M. All Day None

More About You:

Current Certifications	CPR First Aid Other
Highest Degree Earned	High School College Post Grad
Degrees Earned
Are You Still in School	Yes No If Yes, what year? If No, what year did you graduate?
Surfing Experience
Surf Instruction Experience
Job History and Relevant Experience

Lastly, tell us why you would like to work for Learn to Surf LA, and what
you would bring to the program:

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