Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

What position are you applying for? *

Swim Instructor - experienced swim instructors familiar with American Red Cross swim lessons to lead school-age swim classes.

Swim Aid - assist Instructors with swim lessons.

Are you comfortable working in the water with swimmer of various ability levels? This may include supporting multiple swimmers in a depth of 5 feet. *

Yes

No

Have you ever held any aquatics certifications, such as American Red Cross WSI, Lifeguard, CPR, or similar? *

Yes

No

Which of the following strokes are you familiar with?

Please check all that apply.

Front Crawl/Freestyle

Back Crawl/Backstroke

Elementary Backstroke/Little Bird, Big Bird

Breaststroke

Sidestroke

Butterfly

Have you taught swim lessons before? *

Yes - I have led classes

Yes - I have aided an instructor

No

Do you have experience working with students who have special needs? *

Yes

No

Have you ever participated in competitive or synchronized swimming? *

Yes

No