1. Current Address   Permanent Address
    Anticipated departure date for this address:
  2. Anticipated arrival date for this address:
  3. Street:
  4. Street:
  5. City/Town:
  6. City/Town:
  7. Postal Code:
  8. Postal Code:
  9. Phone:
  10. Phone:
  11. Email:
    Email:
    Are you legally entitled to work in Canada?
    Have you worked for the Nova Scotia Lifeguard Service before?

    Work/Lifeguarding Experience (List in order of most recent)
    Term of Employment Position/Title Organization Location/Site Immediate Supervisor Phone

  12. Education
    Highest Grade Level Completed:
  13. Post Secondary Education:

  14. Certifications
    Award Location Earned Expiry Date
    *NLS Option
  15. *Standard First Aid
  16. Basic Life Support Level C (CPR-C)
  17. Oxygen Administration
  18. First Responder
  19. Lifesaving Instructor
  20. NLS Instructor
  21. Other:
  22. * - Required Certification


































  23. TO BE INCLUDED WITH YOUR APPLICATION All applicants: Must attach a photocopy of their certifications and a one page typed covering letter outlining the contribution they will make to the NSLS if hired. Included can be special training skills, plans for beach public relations projects, personal goals, and/or specific site experience, etc.

    Assistant Director/Supervisor: Must include a resume in addition to the aforementioned items.

    Important: Qualified applicants will be contacted via e-mail to confirm interview, testing and physical screening dates. Please ensure your contact information (including e-mail) is correct!

  24. To submit this application, this number must be put in this box!

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    Due to file size of attachments, connection speed and quality, plus other factors, the form may appear to do nothing for several minutes. Please be patient and let the form complete the upload and submission.

    ***Note: Please include a copy of all certifications***



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