Apply for 2024 VBLS First-Year Lifeguard

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Summary
Title:2024 VBLS First-Year Lifeguard
ID:1015
Department:Operations
Contact Information
* Last Name:
* First Name:
MI:
* Date of Birth:
* Gender:
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* Address 1:
Address 2:
* City:
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Opt-In Confirmation
I authorize recruiters from Virginia Beach Lifesaving Service to send text messages from 8445349275 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
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Custom - Employment Application 2024
Please complete all fields and answer all questions.
PERSONAL INFORMATION

Please answer the following questions with a yes or no answer and then provide further information if required.

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Emergency Contact
WAIVER AND RELEASE

WHEREAS, the undersigned hereinafter "Applicant," is interested in qualifying for a position as lifeguard; and

WHEREAS Virginia Beach Lifesaving Service, Inc., hereinafter "VBLS," is a privately held corporation which is a franchisee to the City of Virginia Beach; and

WHEREAS, VBLS is a certified Emergency Medical Service agency of the Commonwealth of Virginia and a Certified Agency of the United States Lifesaving Association;

THEREFORE, the undersigned voluntarily and without coercion, upon receipt of good and valuable consideration, receipt of which is hereby acknowledged, hereby waive all claims for damages or loss to my person and property, which may be caused by an act, or failure to act by VBLS, its officers, agents, or employees. I assume the risk of all dangerous conditions in and about the beach and surf and waive any and all special notice of the existence of such conditions. I also understand VBLS is a drug-free workplace and that I will be subject to random and reasonable suspicion testing for drugs or intoxicating substances upon request by VBLS or the City of Virginia Beach. I agree that any images taken of me on duty may be used for promotional materials and if hired I will be required to join the Virginia Beach Lifeguard Association at the current joining fee.

I affirm the information given above to be true; any incomplete or inaccurate information will result in dismissal.

I have read the waiver, I understand the terms, and I sign it voluntarily and without coercion.

The Virginia Beach Lifesaving Service is an Equal Opportunity Employer.

Candidates must complete all requirements on the check-off sheet in order to gain a spot on the seasonal staff roster including but not limited to the run and swim tests, training classes, required paperwork, updating certifications in the candidate's personnel file and submitting the completed check - off sheet prior to working.

Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
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Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
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Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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