1. Were you referred to Fremont Swim School?: Yes No
If "yes", by whom?:
Employment Dates: to
3. Are you under the age of 16?: Yes No
If "yes" you must provide a work permit.
5. Have you ever been convicted of a crime? Yes No
A conviction does not necessarily disqualify you from employment.
If "yes", please explain
6. Have you ever worked with the public? Yes No
7. Have you ever worked with children? Yes No
8. Have you ever taught swimming lessons? Yes No
If "yes", where and for how long
10. Are you fluent in any language other than English? Yes No
If "yes", please list them.