2022 Springville Youth Incorporated Lifeguarding Application
Please complete this application if you are interested in summer employment for 2022.  If you have any questions please contact me (Mrs. Reynolds) at 913-4078.  
**This application does not mean you have a position with SYI. Based on board approval and needs of SYI, we will choose our lifeguards for the summer.  
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Email *
First and Last Name *
Address *
Best phone # to reach you at *
Date of Birth *
Age *
E-Mail Address *
Do you have a current or previous Employer? If yes, who? *
Name and Phone # of Supervisor
Do you hold a current and up-to-date American Red Cross Lifeguarding Certificate? *
Do you hold a current American Red Cross CPR/AED/First Aid Certificate? *
Have you ever been a lifeguard? *
If yes, how many years?
Are you able to teach swim lessons? *
Are you dependable to show up to your shifts? *
Are you a professional and follow lifeguard rules? *
Please list (name and phone #) of 3 references that we can contact (non-family members) *
Are you planning on holding another job somewhere else? *
If you are planning on having another job (or school), please explain you availability with SYI
Below are a list of jobs SYI is looking to fill this summer.  To help plan, Check the boxes that you would be interested in doing this summer.   *
Required
A copy of your responses will be emailed to the address you provided.
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