SurfCAST Application

Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First available start date: *

MM

DD

YYYY

Last day of availability: *

If not relevant enter 01/01/25

MM

DD

YYYY

Days of the week available to work between the hours of 9am an 5pm: *

Please check all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Have you ever served in the military? *

Yes

No

Are you over 18 years of age: *

Yes

No

Do you have a drivers license? *

Yes

No

Do you have a vehicle you will be able to use to monitor lots if needed? *

Yes

No

Do you have a car insurance? *

Yes

No