Apply to work at MSC

Please fill out the following information and we will be in touch ASAP.

Applicant Info
Name
First Last
Birth Date
MM slash DD slash YYYY
Current Age
Cell Phone
Email
Address
Street Address City State ZIP Code
Are you a member or planning to become a member of the Middletown Swim Club for the 2026 Season?
- Yes
- No
Position
Position(s) applying for:
- Part-time Lifeguard (cert required)
- Pool Manager (age 18+)
- Summer Camp Counselor (age 18+)
- Part-Time Groundskeeper (age 18+)
- Swim Lesson Instructor (16+ with Experience)
Certifications
Certification/License Uploads
Lifeguard Certification
Upload a PDF of your lifeguard or Aqua Aerobics certification here.
Max. file size: 10 MB.
Certification Date
Enter either the expiration date of your current lifeguard certification or the completion date of a future certification.
MM slash DD slash YYYY
Employment History
Employment History & References
Personal References (asst manager position only): name and phone number
Current or Most Recent Employer
First Last
Employer Phone Number
Employer Email
Please List References
Reference Name Reference Phone Reference Email
Acknowledgement*
By checking the box below I understand that, as a condition of my employment, I will adhere to the requirements stated in the Procedure Manual and the Rules and Regulations of the organization. I understand that any violation of these policies and rules may result in termination of employment.
I agree to the above
Order Token

Reference Name	Reference Phone	Reference Email

Applicant Info