Summer Contract HIre Lifeguard Application r.2024

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Certificate of Applicant: I hereby certify that I have read and reviewed the duties summary and meet the minimum qualifications of the position. I hereby certify that all statements in this application are true and correct to the best of my knowledge. I authorize the County of Hawai'i to conduct a criminal history background check pursuant to the attached Request and Release for Criminal History Record Clearance. I authorize reference checks with all my employers (current and past). I understand that any misstatements of material facts herein, or an unsatisfactory criminal history check, may cause forfeiture of all rights to any employment in the service of the County of Hawaii. Signature: Date: Education Graduated from High School? -O R- G E D? Any College? Yes No If degree received, in which subject? Certifications Title: Title: Title: Employment History Current/most recent Employer: Job Title: Previous Employer: Job Title: Previous Employer: Job Title: References Name: Name Name Yes No School: _ Year: Yes No Year: Degree received? Yes _ No Year: Expiration: Expiration: Expiration: Dates: Phone Number: Dates: Phone Number: Phone Number: Phone Number: Phone Number: Phone Number: Dates:_ County of Hawai'i is an Equal Opportunity Provider and Employer r. 01.2024