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 Employment Application

 *Required Field

Personal Information

First Name:*   

Last Name:*   

Middle Initial:       

Address Line 1:*   


Address Line 2:





ZIP Code:*    

Primary Phone:*      

Home   Cell   Other


Secondary Phone:      

Home   Cell   Other


Email Address:*    

Date of Birth:* 


Work Experience

Years of lifeguard experience:*    

Please fill this section out if you have been previously employed, whether in a lifeguard position or not.

Employer Company:


Employer Address:

Employer Phone:

Employer City:    

Employer State:

Employer ZIP Code:



All lifeguards must be certified in Lifeguard Training and First Aid and CPR for the Professional Rescuer by an American Red Cross Certified Instructor. Other certifications may not be required but may help in performing responsibilities. All lifeguards must also be 15 or older but minors (15-17) must also possess working papers to be legally employed in New York State. These can be obtained from your school's Guidance Office.

+ American Red Cross Certifications


Lifeguard Training and First Aid*

CPR for the Professional Rescuer*

AED Essentials

Lifeguard Management

Lifeguard Training Instructor


Other Certifications


Pool Operator

Working Papers (If under 18 only)

Other  (Please Specify:   



Some lifeguards must leave before the end of the season for reasons such as returning to college. It is important to know this in advance to ensure proper coverage at the end of the season.

Are you available to work the entire season through Labor Day?*    Yes   No

If no, when will be your last day?   , 2007



Please Click Submit Only Once


If you have experience difficulties in transmitting this application or if you are uncomfortable with sending the data on this page over the internet, please complete the paper application and follow the instructions on that document for submission. The paper application may be accessed here.

Blue Lagoon Swimming Pool Management considers all applicants based on qualifications and does not consider applicants based on race, color, religion, creed, gender, national origin, age (except as required by law), disability, marital or veteran status, sexual orientation or any other legally protected status.



Website designed by William P. Lynch

Email: contact@williamplynch.com          Website: www.bplwebdesignnyc.com

Copyright 2007 by Bill Lynch

All rights reserved.

All Blue Lagoon Lifeguards are American Red Cross Certified.