Apply On-Line

Please use this form to apply on-line for a rewarding opportunity with Jeff Kelly inc. Required fields are marked with an *.

Position(s) of Interest:*

Position:

Available To:
Swim Instructor Professional educators and university students pursuing a degree in education
Enrollment Counselor Professional educators and university students pursuing a degree in education
Lifeguard Leader Professional educators and university students pursuing a degree in education
  or recreation management
Lifeguard Ages 15+

Personal Information:
First Name:
 *
Middle Name:
Last Name:
 *
Address:
 *
City:
 *
State:
 *
Province\Region:
Country:
Zip\Postal Code:
 *
Primary Phone:
 * (Include country code if outside of the USA)
Alternate Phone:
 (Include country code if outside of the USA)
Email Address:

Education:
High School:
Grade Point Average:
University 1:
Grade Point Average:
University 2:
Grade Point Average:
Degrees:
  
Graduate Studies:  

Clubs, Sports, Activities:
Awards, Honors:
Leadership Positions:

Certifications (Current):
Lifeguard Expiration Date: (MM/DD/YYYY)
Lifeguard Instructor Expiration Date: (MM/DD/YYYY)
CPR\AED Expiration Date: (MM/DD/YYYY)

Work Experience 1: Please list most recent employment first.
Company Name:
Employment Start Date: (MM/DD/YYYY)
Employment End Date: (MM/DD/YYYY)
Position(s):
Responsibilities:  
Supervisor's Name:
Contact Number: (Include country code if outside of the USA)

Work Experience 2: Please list most recent employment first.
Company Name:
Employment Start Date: (MM/DD/YYYY)
Employment End Date: (MM/DD/YYYY)
Position(s):
Responsibilities:  
Supervisor's Name:
Contact Number: (Include country code if outside of the USA)

Work Experience 3: Please list most recent employment first.
Company Name:
Employment Start Date: (MM/DD/YYYY)
Employment End Date: (MM/DD/YYYY)
Position(s):
Responsibilities:  
Supervisor's Name:
Contact Number: (Include country code if outside of the USA)

References: Please do not list relatives.
Name:
Phone Number:
Relationship:
   
Name:
Phone Number:
Relationship:
   

Relevance:
Experience with children:
 
Motivation for seeking a position(s) with Jeff Kelly inc.?
 
Compatibility: Please describe WHY the position(s) for which you are applying would be ideal for you.
 
Availability: Tell us about your availability for this season.
 
Please share anything that would be helpful to us when considering your application:
 
How did you learn of Jeff Kelly inc.?


816-942-SWIM (7946) | 800-641-SWIM (7946) | contact us | 10540 Washington, Suite 302, Kansas City, Missouri 64114