Contact Form – Test

Laketrails does not discriminate in hiring or employment on the basis of race, religion, sex, national origin, age, or non-job related medical conditions. No questions in this application are intended to secure information to be used for such discrimination. Please contact us at 800-450-6460 if you have questions about the application or interview process.

First Name

Last Name

Email Address

Select Gender
MaleFemale

Date of Birth (if under 21)

Please leave this field empty.

Current Address

Phone Number

Permanent Address

Permanent Phone

ARC Basic First AidARC or AHA CPRWilderness First AidARC LifeguardingWFR/WEMT/EMTARC/ACA Small Boat SafetyARC/ACA SailingARC/ACA CanoeingARC/ACA KayakingRN/LPN

State of License (if RN/LPN is checked)

Other Certifications

Company Name

Company Address

Supervisor's Name

Supervisor's Phone

Position Held

School Name

School Address

Major Field of Study

Year in School