Fingal County Council Beach Lifeguard Application 2018


The latest date for accepting completed applications is 4.30pm on Friday 2nd March 2018

Where copies of certificates etc are required please do not send original documents.

Misleading statements will render an applicant liable to disqualification.

1.  PERSONAL DETAILS

a. Name in full (Block Letters): ______
b. Address (Block Letters): ______
______
c. Contact Number: ______
d. Date of Birth: ______Age:______
(Applicants must be at least 17 years old on 1st March 2018)
e. Next of Kin Name: ______
(in case of emergency)
Contact No.: ______
f. PPS No: ______
(If you have not been employed by Fingal County Council previously
please attach a copy of a letter of proof of your PPS number)
g. Email Address: ______

2.  AVAILABILITY

a. What is your current occupation: ______
b. If offered employment what date would you be available to take up duty:
______(Bathing Season commences Saturday 2nd June 2018)
c. Outline your availability for each month
June (weekend work only) ______
July ______
August ______
September (weekend work only) ______

I declare all of the above to be true Yes No
NOTE: Periods of leave in excess of 2 consecutive days will not be authorised

3.  EDUCATION

Dates
From To / Name of School /
University / Examination
2nd LEVEL
3rd LEVEL
OTHER

4.  WATER SAFETY/LIFE-SAVING QUALIFICATIONS (Please attach copies of relevant certificates)

No candidate will be offered a Beach Lifeguard post until a current Beach Lifeguard Certificate has been received by the Council (Irish Water Safety / Royal Life Saving Society or equivalent accepted).

a. BEACH LIFEGUARD CERTIFICATE
Issued By: ______Date of Issue: ______
If your qualification is due to be renewed state Renewal Date: ______
b. RESCUE CERTIFICATES
______
______
______
c. BASIC LIFE SUPPORT / FIRST AID (including AED Training)
______
______
______
d. DETAILS OF OTHER RELEVANT QUALIFICATIONS (including Boat Competency, VHF Radio etc.)
______
______
______

DETAILS OF ANY OTHER RELEVANT QUALIFICATIONS SHOULD BE LISTED ON ONE ADDITIONAL PAGE AND SUBMITTED WITH THIS FORM

5.  DETAILS OF PREVIOUS BEACH LIFEGUARD EXPERIENCE / POOL LIFEGUARD EXPERIENCE OR OTHER RELEVANT EXPERIENCE

From To

/

Name and Address of Employer

/

Details of Employment

6.  MEDICAL HISTORY

a. Does your health and fitness allow you
to perform the duties of Beach Lifeguard: Yes No
If NO, please give details ______
______

b. Is your eyesight normal without contact lenses or glasses? Yes No
If NO, state form of correction used ______

c. Is your colour vision normal? Yes No
If NO, please give details ______

7.  AUTHORISATION

a. Declaration of authorisation in relation to certain posts involving work with Children:

Have you ever changed your surname? Yes No
Have you any criminal convictions: Yes No
If Yes, give details: ______
b. Garda Vetting - Signed Declaration: (Successful Applicants will be required to complete a Garda Vetting Form)
I hereby authorise An Garda Síochána to furnish Fingal County Council with a statement that there are no convictions recorded against me, or a statement of any convictions against me, as the case may be.
Applicant’s Signature: ______

8.  REFERENCES

Give the names of two responsible people to whom you are well known, but not related, who may be contacted by Fingal County Council
Name: ______Name: ______
Occupation: ______Occupation: ______
Address: ______Address: ______
______
Tel No: ______Tel No: ______

I, the undersigned, hereby declare all the foregoing particulars to be true.

Signature of Applicant ______Date ______

Completed application forms should be returned to:

Fingal County Council, Water Safety Development Officer,
Operations Department, Civic Offices, Grove Road, Blanchardstown, Dublin 15


Closing Date: Friday 2nd March 2018 at 4:30pm