2021 Springville Youth Incorporated Lifeguarding Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this application if you are interested in summer employment for 2021. 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.

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?

With COVID still impacting society, are you willing 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) *

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. *

Lifeguard at SYI Pool

Teach Swim Lessons

Work Snack Shack @ SYI Pool Grounds

Help with Spring Soccer (under the direction of Wende Pukay) *Lining Soccer fields is part of this job

Spray Park (will not be available until late July, Early August with construction at the Tennis Courts)

Competitive Swim Coach

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms