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Lifeguard Application


 

Vienna Woods Swim & Tennis Club

Lifeguard Application 2026

Your completed application will be sent to Mrs. Wanzer at Poolmanager@viennawoods.org

The following documents will be required at hiring: Completed application & Tax forms:  I9,  W4,  VA4,  Copy of CPR card,  Copy of Lifeguard Certification,  Copy of Pool Operator License (if applicable). 


Contact Info








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Date of Birth



Street Address

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City, State, Zip Code

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School

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Current Grade


Previous Job Experience

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Lifeguard Certification?


If YES, expiration date



If NO, when do you plan on completing your certification?



Pool Operator Certification?


If YES, expiration date



If NO, do you plan on completing your pool ops certification?


When can you start working?



Do you have any scheduling conflicts? (If yes, please explain)

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What dates do you plan on being on vacation/or not available to work?

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Please note that by working at Vienna Woods you are required to work the season in full (preseason 4/18- postseason 9/12 subject to change) with the exception of family vacations (which should not exceed more than two weeks within the season) and other pre-approved dates by the manager. Lack of availability may lead to reduced hours, sub status only, or removal from staff. (Initial that you read, understand, and accept this requirement):

Initial to indicate you understand...

Agree to Terms

By typing my initials below I understand that by applying for and accepting a job as a lifeguard at Vienna Woods Swim & Tennis Club: I am agreeing to perform a job that includes protecting the lives and safety of both the children and adults that come to enjoy the club. I understand that when I am on duty, I will be responsible for supervising swimmers, minimizing dangers, educating facility users about safety, enforcing rules and regulations, providing assistance, and, if necessary, performing rescues. I understand the importance of my duties as a certified lifeguard to protect and save lives. I understand that my job will include keeping facilities clean at all times, including taking out trash, cleaning the pool, and cleaning bathrooms. It may also include working mandatory scheduled pool social events. I understand that cell phones and other handheld devices are not permitted on duty and may only be used when on break and in the lifeguard room. I understand that by accepting the job, I am committing to it for the full pool season with the exception of approved days off. I also understand that I am not guaranteed a minimum scheduled number of hours and that staff is sent home due to inclement weather or slow periods at the facility.

Today's Date



Parent Signature

Parent approval (initials)




SHOP THE POOL


Find us at: 129 Harmony Dr SW, Vienna, VA 22180

Mailing Address: Owned and operated by Community Ventures, Inc. P.O. Box 33, Vienna VA 22183



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