Interest Form for Aquatic Jobs

2. 
4. To be a lifeguard, an applicant must be a minimum of 15 years of age or older, do you meet this minimum requirement?*

   1. Yes
   2. No
6. First Name*
7. Last Name*
9. Home Phone
10. Cell Phone*
12. Email Address*
14. What JCPRD facility are you interested in working at after gaining certification?*

    1. SMSD Aquatic Center
    2. Shawnee Mission Park Beach
    3. Kill Creek Park Beach
    4. Shawnee Mission Park Marina
    5. Kill Creek Park Marina

    Select all that apply:
15. What JCPRD position are you interested in? *

    1. Lifeguard
    2. Head Lifeguard
    3. Swim Lesson Instructor
    4. Front Desk Clerk
    5. Marina Worker
    6. Lifeguard Instructor
    7. Concession Worker

    Select all that apply:
17. Course Schedule Outline

    Participant must attend all course dates/times.

    TYPICAL COURSE SCHEDULE IS:

    • Thursday:: 4:00 pm - 6:00 pm (ZOOM)
    • Friday:: 4:00 am - 9:00 pm (@ SMSD Aquatic Center)
    • Saturday: 8:00 am - 6:00 pm (@ SMSD Aquatic Center)
    • Sunday: 8:00 am - 6:00 pm (@ SMSD Aquatic Center)
18. Which Lifeguard Course do you want to participate in?*
    -- Select One --January 2022 (TBD)February 2022March 2022April 2022Future Course Already Lifeguard Certified
20. Already have your Lifeguard Certification?
    -- Select One --American Red Cross Star Guard YMCAEllis Other
21. When are you available to work? *

    1. Morning
    2. Afternoon
    3. Evening
    4. Weekend

    Check all that apply:
23. How did you hear about this position? If you were referred by an employee please list their name. *
25. What is your T-Shirt Size? *

    1. Youth X-Large
    2. Adult Small
    3. Adult Medium
    4. Adult Large
    5. Adult X-Large
    6. Adult XX-Large
26. What is your swim suit size? *

    1. Male Small
    2. Male Medium
    3. Male Large
    4. Male X-Large
    5. Women 28
    6. Women 30
    7. Women 32
    8. Women 34
    9. Women 36
    10. Women 38
    11. Women 40
28. Any additional information you'd like to share, questions or concerns?
30. Thank you!
    Submit your job application now!

    We appreciate you taking the time to complete this form. Lifeguard Courses are open to JCPRD Lifeguard applicants only. If you are ready to apply, click the link above to submit your job application. Either way, we'll be in touch soon!
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field