Middlesex, NY · Yates County
Lifeguard Application
Yates County’s Lifeguard Application is for people applying for a lifeguard position at a municipal beach, school pool, or public pool.
What this form is
Use this application to apply for a lifeguard position. It asks about your contact information, eligibility, education, certifications, and work experience, and includes an affirmation for your signature and date. The document also describes the position’s duties and qualifications, and includes medical history and pre-employment physical materials for candidates after a contingent job offer.
Who needs it
People applying for a lifeguard position should complete this application and provide the requested information about their qualifications and experience.
How to submit it
The form identifies the Yates County Personnel Department at 417 Liberty Street, Suite 1007, Penn Yan, NY 14527. It does not specify how or where to submit the application.
About notarization
This document is signed without a notary; the applicant signs and dates the affirmation, and a physician completes the physical examination form after a contingent job offer.
How to submit this form
- 1
Download The Application
Download the Lifeguard Application PDF.
- 2
Complete The Application
Answer the application questions fully and carefully in ink or by typewriter, and attach additional sheets if needed.
- 3
Gather Supporting Materials
The document says transcripts may be requested later and includes medical history and physical materials for candidates after a contingent job offer.
- 4
Submit To The County
The document names the Yates County Personnel Department but does not specify where or how to submit the application.
Frequently asked questions
- Who uses the Lifeguard Application?
- People applying for a lifeguard position use this application to provide their qualifications, education, and employment history.
- What qualifications does the document list?
- It lists a minimum age of 16, current lifeguard certification, current CPR certification, and current first-aid certification or an acceptable equivalent.
- Do I need a notary for the Lifeguard Application?
- No. The applicant signs and dates the affirmation without a notary. After a contingent job offer, a physician completes the physical examination form.
- How do I submit the Lifeguard Application?
- The document names the Yates County Personnel Department at 417 Liberty Street, Suite 1007, Penn Yan, NY 14527, but does not specify application submission instructions.