Ocean Lifeguard General Information and Application

NEW OCEAN LIFEGUARD GENERAL INFORMATION

Lifeguard Requirements:

1. New Lifeguards may not have used tobacco or tobacco products within the past 12 months.

ALL LIFEGUARD APPLICANTS MUST BE AVAILABLE TO WORK WEEKENDS AND ALL HOLIDAYS. NO VACATION TIME WILL BE PERMITTED FROM JULY 3rd-11TH 2021. NO EXCEPTIONS

2. There will be two test dates for potential applicants. You ARE REQUIRED to report to one of the following test dates:

 March 14, 2021 at 10:00 a.m. at Fletcher Senior High School pool  March 27, 2021 at 10:00 a.m. at Fletcher Senior High School pool

a. You will be required to complete an application along with a W-4 Form and an I-9 Form. Please bring copies of your current driver’s license and social security card.

b. You will be required to complete two physical fitness tests consisting of a pool swim test and an ocean swim/run test. The pool swim test requirement is to swim 500 meters (550 yards) in the pool in 10 minutes or less. After successfully completing the pool swim test, applicants will report to the beach in front of the Atlantic Beach Lifeguard Station, 1 Ahern Street, Atlantic Beach, for the ocean swim/run test. The ocean swim/run test consists of running approximately 1/2 mile on the beach with buoy, entering the ocean, swimming approximately 1/2 mile in the ocean while towing a buoy, exiting the ocean and returning to the starting point in 30 minutes or less.

3. Background check.

4. Interview.

If selected, post-employment requirements:

1. Physical examination to include a drug test by urinalysis with an optional Hepatitis B Vaccine.

2. Must successfully complete and maintain the requirements for an Open Water Lifeguard per USLA, Guidelines for Open Water Lifeguard Agency Certification. This is an approximately 48 hour classroom and on-the-job training taught by Atlantic Beach free of charge. Lifeguards will be paid while attending this course.

3. Lifeguards without an Emergency Medical Responder certificate must obtain an Emergency Medical Responder certificate prior to continued lifeguard employment. An Emergency Medical Responder class of approximately 43.5 hours is offered by Atlantic Beach with classes normally held at night or on weekends. Lifeguards may obtain an Emergency Medical Responder certificate by completion of this class or they may obtain an Emergency Medical Responder certificate through other training offered in the Jacksonville area. If required, a CPR certificate will also be obtained during Emergency Medical training. Lifeguards will not be paid while attending this course. Page 1 of 6 Rev 03/20/20 Note: Above requirements may be modified for returning lifeguards.

NEW OCEAN LIFEGUARD EMPLOYMENT APPLICATION INSTRUCTIONS

If you previously worked the 2018 beach season, STOP. This is the wrong application form. Please contact Lifeguard Captain John Phillips for a Returning Guard application.

The City of Atlantic Beach has an employment policy that requires all new applicants to certify that they have not used tobacco products during the past 12 months and will not utilize tobacco while employed. If you have utilized any tobacco products during the past 12 months, you are not eligible for employment.

Using a typewriter or legibly printing in black ink, fill out this application completely and accurately. If space provided is inadequate, add additional pages and identify responsive information by item number. If an item does not apply to you, indicate by entering N/A. Do not leave any item blank.

NOTE: All responsive statements are subject to verification and any incorrect statements may bar or remove you from employment. Truthful statements to any item herein requested will not necessarily exclude you from employment consideration for a specific position unless contrary, prohibited, or controlled by law or otherwise places you in a nonconforming status with job related policies and standards as established by the City of Atlantic Beach.

PERSONAL INFORMATION

1. Name:

2. Nicknames or Aliases:

3. Are you at least 16 years of age (As of May 1, 2021):

4. Mailing Address: Street

City State Zip Code

5. Current Address Street

City State Zip Code 6. E-Mail Address ______

7. Phone #: Primary (____)______Secondary (____)______

8. Have you previously worked for the City of Atlantic Beach in the capacity of a lifeguard? Mark one. Yes No If yes, please list dates

Page 2 of 6 Rev 03/20/20 ______

9. Height Weight Waist Size (The above requested information is used for the ordering of swimwear only.)

WORK EXPERIENCE:

List all of the jobs you have held in the past pertaining to lifeguarding, water safety and/or first aid. Be specific give details. If no such jobs exist, list any other previous employment.

Present Employer: Area Code and Phone # : (___) ______May We Contact? ______Title/Position Held ______Supervisor ______Date of Employment: From ______to ______Reason For Leaving: ______

Previous Employer: Area Code and Phone # : (___) ______May We Contact? ______Title/Position Held ______Supervisor ______Date of Employment: From ______to ______Reason For Leaving: ______

List, and attach, copies of any lifeguard certifications, emergency medical training, and certificates that you have attained

List driver’s license information and attach a copy:

DL Number: ______State: ______Expiration Date: ______

The City of Atlantic Beach is an equal employment opportunity employer and considers applications for all positions without regard to race, color, age, gender, religion, national origin, disability, marital status or any other non-merit factor.

Page 3 of 6 Rev 03/20/20 APPLICANT’S STATEMENT

I UNDERSTAND AND VOLUNTARILY AGREE as a condition of employment or my continued employment, that I may be requested by the City of Atlantic Beach to submit to a urinalysis or other drug screen test and that my failure to take such test(s) when requested to do so or unsatisfactory test results will disqualify me from consideration for employment, or if I am then employed, may result in my immediate dismissal.

I certify that the foregoing answers are true and correct to the best of my knowledge. I authorize the investigation of all statements contained in this application and hereby give permission to contact schools, previous employers, references, and others, and hereby release the City of Atlantic Beach from any liability as a result of such contact. I understand that any false or misleading information or omissions of facts requested in this application or interview may remove me from further consideration for employment. In addition, if employed, any false or misleading statement or omission of fact called for in this application may be cause for subsequent dismissal at any time without any previous notice.

I have read and understand the requirements listed above. If selected to participate in the employment process, I agree to comply with all requirements. I hereby certify that all statements made in this questionnaire are true and complete and understand that any misstatements of material facts will subject me to disqualification or dismissal.

All lifeguards must be available to work all holidays, weekends and the week between July 10-14. By signing this agreement you have verified that you will be available to work during the above stated.

I ____have ____have not read the job description for Life Guard and certify that I am able to perform all the essential job functions or

I ____have ____have not read the job description for Life Guard and certify that I am able to perform all the essential job functions if provided with the following accommodations:______

______Signature in Full Date Completed

______Full Name Printed

Page 4 of 6 Rev 03/20/20 The Equal Employment Opportunity Commission (EEOC) requires organizations with 100 or more employees to complete an EEO-1 report each year. Completion of this data is VOLUNTARY and will not affect your opportunity for employment or terms or conditions of employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by Human Resources Department. ___ I do not wish to complete this form.

Name (optional) ______Date: ______Position applied for: ______Sex: ___ Male ___ Female

RACE/ETHNICITY: (Please check one of the descriptions below corresponding to the ethnic group with which you identify.) ¨ Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

¨ White (Not Hispanic or Latino) A person having origins in any of the original peoples of Europe, the Middle East or North Africa.

¨ Black or African American (Not Hispanic or Latino) A person having origins in any of the black racial groups of Africa

¨ Native Hawaiian or Other Pacific Islander (Not A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Hispanic or Latino) Pacific Islands.

¨ Asian (Not Hispanic or Latino) A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

¨ American Indian or Alaska Native (Not Hispanic or A person having origins in any of the original peoples of North and South America Latino) (including Central America) and who maintain tribal affiliation or community attachment.

¨ Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above five races.

DISABILITY/VETERAN STATUS: (Please check all that apply) ¨ Disabled Anyone having any physical or mental impairment which substantially limits one or more major life activities.

¨ Special Disabled Veteran (1) Any veteran entitled to VA-administered disability compensation for a disability rated at 30% or more, or rated at 10-20% where the VA has determined the veteran to have a serious employment handicap; or (2) Any veteran who was discharged or released from active duty because of a service- connected disability.

¨ Vietnam Era Veteran (1)Anyone who served on active duty in the U.S. Military for a period of more than 180 days and who was discharged with other than a dishonorable discharge, if any part of such active duty was performed (a) in the Republic of Vietnam between February 28, 1961 and May 7, 1975, or (b) between August 5, 1964 and May 7, 1975, in all other cases; or (2) Anyone who was discharged from active duty in the U.S. military for a service-connected disability if any part of such active duty was performed (a) in the Republic of Vietnam between February 28, 1961 and May 7, 1975 or (b) between August 5, 1964 and May 7, 1975 in any other location.

¨ Newly Separated Veteran Any veteran who served on active duty in the U.S. Military, ground, naval, or air service during the one-year period beginning on the date of such veteran’s discharge or release from active duty.

¨ Other Protected Veteran Any veteran who served on active duty during a war or in a campaign for which a campaign badge has been authorized. REFERRAL SOURCE ¨ Florida Times Union Newspaper ¨ City of Atlantic Beach web page ¨ Florida Times Union website ¨ Atlantic Beach City Employee ¨ Shorelines Newspaper ¨ Walk-In ¨ Beaches Leader Newspaper ¨ Other ______

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