Change Request



  • Accepted file types: pdf, doc, docx, Max. file size: 128 MB.
  • Drop files here or
    Accepted file types: pdf, doc, docx, Max. file size: 128 MB.
      Attach all that apply: Standard First Aid, Bronze Cross and National Lifeguard Certification



    • Personal Information




    • Contact Information

    • MM slash DD slash YYYY
    • *Please select the shifts you are available to work each week.  Each shift is about 4-5 hours in length. Individual school shift days, times, and lengths vary.  However, most schools have AM shifts (e.g., 9:00 am – 1:00 pm), PM shifts (e.g., 3:30 pm – 7:30 pm), and Weekend shifts (e.g., 9:00 – 1:00 pm and 1:00 pm – 5:00 pm). 



    • Legal

    • I understand and agree that Aqua-Tots shall administer background checks on new employees having sensitive positions including but not limited to those positions which (1) handle cash and credit card information; (2) are responsible for facility security (3) have occasion to be alone with children. I understand and agree that employment is conditional upon the results of these checks. I certify that all information provided in this Application for Employment is true, correct and complete. I understand that any false or misleading information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize the investigation of any and all statements contained in this application.




    • In a few sentences, please let us know why you are interested in working for Aqua-Tots.

    • This field is for validation purposes and should be left unchanged.