TOWN OF COVENTRY DEPARTMENT OF PARKS & RECREATION - 2019 Aquatics Job Application - Coventry, CT
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TOWN OF COVENTRY
DEPARTMENT OF
PARKS & RECREATION
2019 Aquatics Job Application
Application Deadline: 3/31/2019
Revised January 2019COVENTRY PARKS & RECREATION 1712 MAIN STREET
Coventry, CT 06238
Phone: 860-742-4068
Fax: 860-742-8911
E-mail: wrubin@coventryct.org
Dear Applicant,
Thank you for your interest in working as a lifeguard for the Town of Coventry
Parks and Recreation Department. The enclosed application packet consists of a job
description, the Town of Coventry Job application, a lifeguard information sheet and
the lifeguard employment reference form. Please also include copies of any current
Red Cross certifications.
In the Town of Coventry job application please include no fewer than 2 and no
more than 3 references (when selecting references, we suggest that you consider
teachers, coaches and prior employers rather than family members and friends).
Please have each of those references fill out a Lifeguard Employment Reference
Form and return those along with the rest of the application packet to the above
address. Please return completed applications by March 31, 2019. Incomplete
applications may be delayed in processing.
Once all applications have been reviewed, qualified applicants will be
contacted to schedule interviews. We look forward to hearing from you!
Sincerely,
Wendy Rubin, CPRP
Director
Revised January 2019Job Description - Lifeguard
Work involves the prevention of injury or loss of life at aquatics facilities for swimming and
bathing by performing water rescue and prevention techniques, first aid, and CPR. Duties also
include a variety of maintenance tasks. Work is reviewed through employee observation, facility
inspection, and written and oral reports and conferences.
Illustrative Tasks: Maintains staff and patron safety, order, and discipline at the assigned
aquatics facility/facilities. Performs emergency water-rescue techniques to assist persons in
distress, applies CPR, and administers first aid when necessary. Assists in the implementation
of aquatics programs and special events. Explains and interprets operational and programmatic
rules and regulations to park patrons; enforces or refers enforcement to proper authorities.
Ensures general safety, cleanliness, and appearance of assigned aquatics amenities including
restrooms, when able to do so without distraction from primary lifeguarding responsibilities.
Performs related work as required.
Certifications:
Current certification in the following:
o Lifeguarding:
American Red Cross Lifeguarding
American Red Cross Waterfront Lifeguarding and First Aid for non-surf open-water
positions
o American Red Cross First Aid and CPR/AED for Lifeguards
Pre-employment testing of lifeguarding knowledge and skills
Required Experience and Training: Completion of two (2) years of high school or equivalent
or in process of completion of the 10th grade. Employment continuation in this class is
contingent upon completion of the 10th grade within four (4) months of employment; minimum
age 16 years; some previous experience as a lifeguard; or equivalent combination of relevant
training and experience.
Knowledge, Abilities and Skills: Knowledge of approved water-rescue and accident-
prevention techniques, emergency procedures, simulation drills, water-safety policies, first aid,
and CPR. Knowledge of water-safety practices and procedures. Some knowledge of operational
safety and maintenance requirements for aquatics facilities and amenities.
Ability to react efficiently and effectively in emergency rescue situations.
Ability to perform assigned tasks requiring physical strength and agility.
Ability to react efficiently and tactfully with the public and to be capable of enforcing
regulations firmly and impartially.
Ability to serve the public and fellow employees with honesty and integrity in full accord
with the letter and spirit of the town of Coventry’s Ethics and Conflict of Interest
policies.
Ability to establish and maintain effective working relationships with the general public,
co-workers, elected and appointed officials, and members of diverse cultural and
linguistic backgrounds regardless of race, religion, age, sex, disability, political
affiliation or sexual orientation.
Skills in open-water swimming, water rescue, accident prevention techniques, water-
safety procedures, first aid, and CPR.
Revised January 2019Responsible to:
Aquatics Director
Physical Demands and Work Environment:
The work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations
may be made to enable individuals with disabilities to perform the essential functions.
Ability to push/pull/lift objects weighing less than 50 pounds. Must be mobile
and able to sit for long periods of time. Able to perform gross body
coordination. The employee is occasionally required to use hands to finger,
handle, feel or operate objects, tools, or controls; and reach with hands and
arms. The employee is occasionally required to climb or balance; stoop, kneel,
crouch, or crawl.
Specific vision abilities required by this job include close vision, distance vision,
peripheral vision, color vision, depth perception and the ability to adjust focus.
Able to see objects far away as in driving and closely as in reading a report.
Able to hear normal sounds with some interruption; needs to attend to
task/function for more than 60 minutes at a time. The noise level in the work
environment can be moderately loud when in the field.
Able to understand and relate to specific ideas, generally several at a time, and
to understand and relate to theories behind several related concepts. Able to
remember multiple tasks/assignments given to self and others over extended
periods of time.
Sufficient stamina and strength to be exposed to the discomforts of working out
of doors in the summer. Must be able to work around trees and foliage and be
able to withstand dust.
While performing the duties of this job, the employee works in outside weather
conditions. The employee is exposed to wet and/or humid conditions, high heat,
and severe weather.
The duties listed above are intended only as illustrations of the various types of work that may be
performed. The omission of specific statements of duties does not exclude them from the position if the
work is similar, related or a logical assignment to the position. The job description does not constitute an
employment agreement between the employer and employee and is subject to change by the employer as
the needs of the employer and requirements of the job change.
Effective Date: January 2019
Revised January 2019Lifeguard Information Sheet
Name:
(Please print your full name)
CONTACT INFORMATION: Please PRINT clearly.
CURRENT ADDRESS: Please enter your current address.
Street Address: E-Mail:
City/Town: State: Zip Code:
Telephone: ( ) Effective Date:
PERMANENT ADDRESS: (If different from above)
Street Address: E-Mail:
City/Town: State: Zip Code:
Telephone: ( ) Effective Date:
CERTIFICATION: Attach photocopies of both sides of each certification to this form.
*Remember to bring originals to the office to be verified by staff.
Expiration Copy on File Expiration Copy on File
(For Office Use Only) (For Office Use Only)
Date Date
Lifeguarding Yes / No First Aid Yes / No
Waterfront LG Yes / No CPR Yes / No
WSI Yes / No Other: Yes / No
T-Shirt Size: (Please Circle) S M L XL XXL
Schedule Preference (please circle one):
Set Schedule Varied Schedule Either
*Please submit requests for time off IN WRITING by June 1st, 2018
**NEW STAFF ONLY**
EXPERIENCE: Please describe any experiences you have had as a lifeguard.
I have worked as a lifeguard at a: POOL INLAND BEACH OCEAN BEACH WATERPARK
For how many years? ___________________ Have you worked for Coventry P&R before? Yes / No
The Parks and Recreation Department does not guarantee a set amount of hours for any seasonal staff.
Scheduled hours are subject to change due to inclement weather.
Revised January 2019APPLICATION FOR EMPLOYMENT
In compliance with Federal and State equal opportunity laws, qualified applications are considered
for all positions without regard to race, color, religion, sex, national origin, age, marital status, or
the presence of non-job-related medical condition or handicap.
Date of Application _____________________
Position Applying For: ____________________________________________________________
Name _________________________________________________________________________
Last First Middle
Address _______________________________________________________________________
Street City State Zip
Telephone _____________________________ Email: _________________________________
Have you filed an application or been employed by the Town of Coventry in the past?
Yes_____/Dates:_______________ No_____
Are you a citizen of the United States? Yes_____ No_____
If not, do you have an Alien Registration Card? Yes_____ No_____
Are you able to perform the essential functions of the job for which you are applying, with or without
reasonable accommodation? Yes_____ No_____
Are you available to work: Full Time_____ Part Time_____
Are you over the age of 18? Yes_____ No_____
In case of accident or emergency, please notify:
______________________________________________________________________________
Name Address PhoneDo you have a driver’s license? Yes_____ No_____ Type(Class):__________
CDL: Yes_____ No_____ Operator’s # __________
Education History:
Specialized Training and Skills: Please list any specialized training, apprenticeship, skills, or
experience relevant to the position for which you are applying.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
High School College Graduate
School Name
Years Completed
9 10 11 12 1 2 3 4 1 2 3 4
Course of Study
______________________________________________________________________________
______________________________________________________________________________
List trade of professional organizations of which you are a member, including offices held.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________Employment Experience:
In the space provided, please list your employment history beginning with your most recent
employer.
1. Employer: ___________________________________ Phone:_____________________
Address: ________________________________________________________________
Name and Title of Supervisor: _______________________________________________
Your Position: __________________________ Duties: __________________________
________________________________________________________________________
Reason for Leaving: _______________________________________________________
Employed From: _____/_____ To: _____/_____
2. Employer: ___________________________________ Phone:_____________________
Address: ________________________________________________________________
Name and Title of Supervisor: _______________________________________________
Your Position: __________________________ Duties: __________________________
________________________________________________________________________
Reason for Leaving: _______________________________________________________
Employed From: _____/_____ To: _____/_____
3. Employer: ___________________________________ Phone:_____________________
Address: ________________________________________________________________
Name and Title of Supervisor: _______________________________________________
Your Position: __________________________ Duties: __________________________
________________________________________________________________________
Reason for Leaving: _______________________________________________________
Employed From: _____/_____ To: _____/_____References:
Please list 3 references, you can use the attached Lifeguard Employment Reference Forms if
your references would prefer to fill it out over being contacted.
________________________________________________________________________
Name Address Phone
________________________________________________________________________
Name Address Phone
________________________________________________________________________
Name Address Phone
I certify that the answers given herein are true and complete to the best of my knowledge. I
authorize you to make such investigations and inquiries of my personal, employment,
financial or medical history and other related matters as may be necessary in arriving at
an employment decision. I hereby release employers, schools or persons from all liability
in responding to inquiries in connection with my application.
In the event of employment, I understand that false or misleading information given in
my application or interview(s) may result in discharge. I understand, also, that I am required
to abide by all rules and regulation of the Town of Coventry.
_______________________________________ _____________
Signature of Applicant Date
For Personnel Department Use Only
Arrange Interview: Yes_____ No_____ Date: ___________________
Remarks:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Employed: Yes_____ No_____ Date of Employment: ____________________
Department: ________________________ Job Title: _______________________________
Salary/Rate: ________________________
Job Application form: revised 7/18/2016Lifeguard Employment Reference Form
Applicant Section:
Please complete this section, then deliver or mail this form and self-addressed envelope to your
reference provider. Ask him/her to return this completed form to you sealed in the envelope you
provided, with his/her signature across the seal. Do not open or break the seal. Submit the sealed
reference letter in the same packet with all of your application materials.
Applicant Name: ____________________________________ DOB: ____________
Email Address: ________________________________ Phone: _________________
Position you are applying for: _______________________________________________
________________________________________________ ___________
Applicant Signature Date
Reference Writer Section:
We appreciate your judicious evaluation of this applicant. Parks & Recreation requires that its
applicants for summer positions submit all application materials in one self-managed packet, so
please return this completed evaluation to the applicant directly, in a sealed envelope. Please affix
your signature to the sealed flap of the envelope.
Name: _______________________________ Phone: _______________________
Position/Title: _________________________ Organization: __________________
Email Address: ___________________________________________________________
Mailing Address: _________________________________________________________
How long have you known the applicant: ______________________________________
In What Capacity? ________________________________________________________
Continued on reverse side
Revised January 2019Please rate the applicant on the qualities listed below:
Characteristic Below Average Above Outstanding N/A
Average Average
Interaction with people
Leadership
Ability to problem solve
Ability to work well with others
Ability in oral expression
Ability to enforce rules
Safety Conscious
Self-Confidence
Motivation
Statement about the Applicant
Please use the space provided to add anything you would like to help clarify the items above, or
assist us in evaluating the applicants experience and qualifications. Please attach separate sheets or
use the space below to make important comments concerning this applicant, if needed.
I -- Strongly recommend Recommend Recommend with reservations
Do not recommend -- this applicant for a position with the Coventry Parks &
Recreation Department.
I -- Would Would not -- Be willing to respond to additional questions by
telephone or email.
Signature ________________________________________ Date____________
Revised January 2019Lifeguard Employment Reference Form
Applicant Section:
Please complete this section, then deliver or mail this form and self-addressed envelope to your
reference provider. Ask him/her to return this completed form to you sealed in the envelope you
provided, with his/her signature across the seal. Do not open or break the seal. Submit the sealed
reference letter in the same packet with all of your application materials.
Applicant Name: ____________________________________ DOB: ____________
Email Address: ________________________________ Phone: _________________
Position you are applying for: _______________________________________________
________________________________________________ ___________
Applicant Signature Date
Reference Writer Section:
We appreciate your judicious evaluation of this applicant. Parks & Recreation requires that its
applicants for summer positions submit all application materials in one self-managed packet, so
please return this completed evaluation to the applicant directly, in a sealed envelope. Please affix
your signature to the sealed flap of the envelope.
Name: _______________________________ Phone: _______________________
Position/Title: _________________________ Organization: __________________
Email Address: ___________________________________________________________
Mailing Address: _________________________________________________________
How long have you known the applicant: ______________________________________
In What Capacity? ________________________________________________________
Continued on reverse side
Revised January 2019Please rate the applicant on the qualities listed below:
Characteristic Below Average Above Outstanding N/A
Average Average
Interaction with people
Leadership
Ability to problem solve
Ability to work well with others
Ability in oral expression
Ability to enforce rules
Safety Conscious
Self-Confidence
Motivation
Statement about the Applicant
Please use the space provided to add anything you would like to help clarify the items above, or
assist us in evaluating the applicants experience and qualifications. Please attach separate sheets or
use the space below to make important comments concerning this applicant, if needed.
I -- Strongly recommend Recommend Recommend with reservations
Do not recommend -- this applicant for a position with the Coventry Parks &
Recreation Department.
I -- Would Would not -- Be willing to respond to additional questions by
telephone or email.
Signature ________________________________________ Date____________
Revised January 2019Lifeguard Employment Reference Form
Applicant Section:
Please complete this section, then deliver or mail this form and self-addressed envelope to your
reference provider. Ask him/her to return this completed form to you sealed in the envelope you
provided, with his/her signature across the seal. Do not open or break the seal. Submit the sealed
reference letter in the same packet with all of your application materials.
Applicant Name: ____________________________________ DOB: ____________
Email Address: ________________________________ Phone: _________________
Position you are applying for: _______________________________________________
________________________________________________ ___________
Applicant Signature Date
Reference Writer Section:
We appreciate your judicious evaluation of this applicant. Parks & Recreation requires that its
applicants for summer positions submit all application materials in one self-managed packet, so
please return this completed evaluation to the applicant directly, in a sealed envelope. Please affix
your signature to the sealed flap of the envelope.
Name: _______________________________ Phone: _______________________
Position/Title: _________________________ Organization: __________________
Email Address: ___________________________________________________________
Mailing Address: _________________________________________________________
How long have you known the applicant: ______________________________________
In What Capacity? ________________________________________________________
Continued on reverse side
Revised January 2019Please rate the applicant on the qualities listed below:
Characteristic Below Average Above Outstanding N/A
Average Average
Interaction with people
Leadership
Ability to problem solve
Ability to work well with others
Ability in oral expression
Ability to enforce rules
Safety Conscious
Self-Confidence
Motivation
Statement about the Applicant
Please use the space provided to add anything you would like to help clarify the items above, or
assist us in evaluating the applicants experience and qualifications. Please attach separate sheets or
use the space below to make important comments concerning this applicant, if needed.
I -- Strongly recommend Recommend Recommend with reservations
Do not recommend -- this applicant for a position with the Coventry Parks &
Recreation Department.
I -- Would Would not -- Be willing to respond to additional questions by
telephone or email.
Signature ________________________________________ Date____________
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