How did you first hear about our company?
Pre-Planned Vacation Dates?
All empoyees are expected to work Memorial Day, July 4th, and Labor Day Weekends
PREVIOUS WORK EXPERIENCE (Including Lifeguarding)
Hepatitis B Vaccine Determination
I understand that due to my occupational exposure to blood or other potentially infectious materials, I may be at risk of acquiring the Hepatitis B virus (HBV) infection. I understand that upon exposure, I am to contact the office immediately and a confidential medical evaluation and follow-up will then be made available. Included in this medical evaluation will be the opportunity to receive the Hepatitis B Immune Globulin (HBIG) vaccination at no charge to me. This is not the three series shot, and will only be administered if you are exposed to infectious materials.
EMERGENCY CONTACT INFORMATION
COMMUNITY INVOLVEMENT & ACTIVITIES
Please List Important Activities to You
school or otherwise in which you are involved (i.e. academic, school clubs, sports teams, church, volunteer work, ect...)