Event Lifeguard Application Step 1 of 6 16% Event Lifeguard Requirements - Valid Lifeguard & CPR/First Aid Certifications - Must be 18 years or older - Must have a minimum of 1 year experience In order to have your application processed, you must thoroughly answer all questions on the application.While we encourage you to attach a resume, a resume will not substitute for completing any portion of this application. All information will be treated confidentially. General QuestionsAre you 18 years old or older?*YesNoAt this time we only accept applications for event Lifeguards who are 18 years or older. If you are 18 years or older please correct your answer above.Are you a certified Lifeguard?*YesNoAt this time we only accept applications from certified lifeguards. Please visit our Lifeguard Certification page for details. Personal InfoName* First Last Email* Enter Email Confirm Email Cell Phone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you eligible to work in the United States?*YesNoDo you have reliable transportation?*YesNo Certifications & ExperienceWhat kind of Lifeguard certification do you have?*American Red CrossEllis & AssociatesStarGuardYMCAWhat date does your Lifeguard certificate expire?* Date Format: MM slash DD slash YYYY Are you CPR certified?*YesNoWhat kind of CPR certification do you have?*American Red CrossAmerican Heart AssociationEllis & AssociatesYMCAStarGuardWhat date does your CPR certificate expire?* Date Format: MM slash DD slash YYYY How long have you been a Lifeguard?*under 1 year1 year2 years3 years4 years5+ yearsPlease give details of your Lifeguard experience*In your opinion, what makes someone a good lifeguard?* Personal ReferenceA personal reference, also known as a character reference, is a reference provided by an individual who knows you and can vouch for your character and abilities.Personal Reference* First Last Personal Reference Phone*How do you know this reference?*Employment ReferencePlease provide at least one employment reference as it pertains to Lifeguarding.Employment Reference*Previous EmployerCurrent EmployerNo Employment HistoryDates of Employment*How long at this job?*Job Title*Business Name*Business Phone*Supervisors Name* First Last Job Duites*Do you have another employment reference?*YesNoEmployment Reference*Previous EmployerCurrent EmployerDates of Employment*How long at this job?*Job Title*Business Name*Supervisors Name* First Last Job Duites* Service AreaPlease select which areas you are willing to Lifeguard events in.Which county or counties are closest to you?* Santa Barbara County Ventura County Los Angeles County San Bernardino County Riverside County San Diego County Which cities are you willing to service in Ventura County?* All cities in Ventura County Brandeis Camarillo Fillmore Moorpark Newbury Park Oak Park Oak View Ojai Oxnard Piru Point Mugu Nawc Port Hueneme Santa Paula Simi Valley Somis Thousand Oaks Ventura Westlake Village Which cities are you willing to service in Santa Barbara County?* All cities in Santa Barbara County Buellton Carpinteria Casmalia Goleta Guadalupe Lompoc Los Alamos Los Olivos New Cuyama Santa Barbara Santa Maria Santa Ynez Solvang Summerland Which cities are you willing to service in Los Angeles County?* All cities in LA County Agoura Hills Arcadia Azusa Baldwin Park Beverly Hills Bradbury Burbank Calabasas Cerritos Claremont Covina Culver City Diamond Bar Duarte El Monte El Segundo Encino Gardena Glendale Glendora Hawthorne Hermosa Beach Hidden Hills Huntington Park Industry Irwindale La Canada Flintridge La Habra Heights La Mirada La Verne Long Beach Los Angeles Malibu Manhattan Beach Monrovia Montebello Monterey Park Norwalk North Hollywood Palos Verdes Estates Pasadena Pico Rivera Pomona Rancho Palos Verdes Redondo Beach Rolling Hills Rolling Hills Estates Rosemead San Dimas San Fernando Valley San Gabriel San Marino Santa Clarita Santa Monica Sherman Oaks Sierra Madre Signal Hill South El Monte South Pasadena Studio City Thousand Oaks Torrance Van Nuys Walnut West Covina West Hollywood Westlake Village Whittier Which cities are you willing to service in San Bernardino County?* All cities in San Bernardino County Adelanto Apple Valley Barstow Big Bear Lake Chino Chino Hills Colton Fontana Grand Terrace Hesperia Highland Loma Linda Montclair Needles Ontario Rancho Cucamonga Redlands Rialto San Bernardino Twentynine Palms Upland Victorville Yucaipa Yucca Valley Which cities are you willing to service in Riverside County?* All cities in Riverside County Banning Beaumont Blythe Calimesa Canyon Lake Cathedral City Coachella Corona Desert Hot Springs Hemet Indian Wells Indio Lake Elsinore La Quinta Moreno Valley Murrieta Norco Palm Desert Palm Springs Perris Rancho Mirage Riverside San Jacinto Temecula Wildomar Which cities are you willing to service in San Diego County?* All cities San Diego County Carlsbad Chula Vista Coronado Del Mar El Cajon Encinitas Escondido Imperial Beach La Mesa Lemon Grove Oceanside Poway San Diego San Marcos Santee Solana Beach Vista If there are any cities you will service not listed above, please list them here. ResumeIf you have a resume, please upload it here:Accepted file types: pdf, doc.Profile PhotoIf you have a profile photo, please upload it here:Accepted file types: jpg, gif, png.A profile photo is optional, however lifeguards with profile photos tend to get booked more often.Applicant StatementI hereby certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I understand that false statements of any kind or omission of facts called for on this application are a basis for dismissal regardless of when they are discovered. I understand that any employment offered is for an indefinite duration, unless otherwise specified in writing, and is at-will, which means that either I or LEEDAV-CO, Inc. DBA Safe Swim may terminate my employment at any time with or without notice or cause. I further understand that neither the policies, rules, regulations of employment, application for employment, nor anything said during the interview process shall be deemed to constitute the terms of any implied employment contract. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. By submitting this application I agree with the statement above.* I agree Sign the application by entering your full name:*CAPTCHA CodeHelp us fight spam, enter the CAPTCHA code below Δ This iframe contains the logic required to handle Ajax powered Gravity Forms.
