LONG BEACH TOWNSHIP BEACH PATROL 6805 Long Beach Boulevard, Brant Beach, NJ 08008

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1 Dear Prospective LIT/B-LIT: Thank you for your interest in participating in our Lifeguard-In-Training (LIT) Program or our Beginner Lifeguard-In- Training (B-LIT) Program during our 2016 summer season. The deadline for all required documents is May 1, The following documents are to be submitted by this date: 1. Application completed in full 2. Physical needed to take swim test and to participate in program 3. Birth Certificate (for new applicants) Each applicant must pass our swim test, taken at Aquatic Center (schedule is attached). The requirements are as follows: LIT - B-LIT yards in 2:25 or less 150 yards in 2:45 or less. Upon completion of all of the swim tests, you will be notified if you have been accepted into the LIT Program or B-LIT Program. The fees for the LIT/B-LIT Program this summer are as follows: LIT Program - $ for a single session $ for both sessions B-LIT Program - $ for a single session $ for both sessions (This fee is due only upon your acceptance into the LIT/B-LIT Program.) Summer sessions are as follows: The first session for LIT is Monday, June 20 through Friday, July 15. The first session for B-LIT is Wednesday, June 22 through Friday, July 15. The second session for both is Monday, July 18 through Friday, August 12. If you have any further questions, you may contact the beach patrol office at (609) between 9:00 a.m. and 4:00 p.m. Monday thru Friday. Sincerely, Tracey A. Schmidt Lifeguard Coordinator Josh Bligh Lifeguard Coordinator

2 2016 Beginner Lifeguard-in-Training Application First Session - Wednesday, June 22 thru Friday, July 15 (M,W,F 1:30 pm to 3:30 pm) Second Session - Monday, July 18 thru Friday, August 12 (M,W,F 1:30 pm to 3:30 pm) BOTH First and Second Sessions Last Name First Name MI Sex Date of Birth M F Permanent Summer Permanent # Cell # Summer # Clothing Sizes: T-Shirt: Shorts: Sweatshirt: S M L XL Anticipated Start Date Anticipated End Date Dates Unavailable (if any) School Name City State Grade ARC CPR Certification? SCUBA Certification? LBTBP LIT Certification? Expires Expires Level Date Y N Y N Other certifications - list dates and locations. Continue on next page if necessary. Emergency Contact #1 - Name / Relation # Emergency Contact #2 - Name / Relation # 1. Do you have a history of medical problems which would prohibit you from performing Y N the duties of your job? 2. Have you ever been convicted of a crime? Y N If you answered yes to question 1 or 2, please explain on next page. If you have a history of learning disabilities, please state. I state that the above information is true and correct to the best of my knowledge. Signature of Applicant Date Signature of Parent or Guardian (for minors only) Date Incomplete applications will not be accepted. Must be completed in full.

3 Additional Information: Other dates unavailable: Other Certifications: Explaination for questions 1 or 2:

4 Application Deadlines Application and required documents must be received by to May 1, 2016, and is required prior to taking swim test. Submittal of required documentation does not guarantee employment. Swim Test Calendar Veteran and new lifeguards swim test meters (which is 22 lengths of the Aquatic Center pool) in 10:00 minutes or less. Veteran and New LIT/B-LIT swim test yards in 2:25 or less for LIT 150 yards in 2:45 or less for B-LIT. Goggles and swim caps are permitted, no diving starts. All lifeguards are required to complete the Wilson Bud Peck 1000-meter ocean swim and half-mile paddleboard competitions. The following dates will be the only times the test will be held. You may attempt to pass the test on any two of these dates. You may only take the swim test a total of two (2) times. If you do not pass the swim test you will not be hired as a Long Beach Township ocean lifeguard. Saturday, May 7 Saturday, May 14 Lifeguard applicants (by appointment) Lifeguard applicants (by appointment) 5:30 7:00 pm 5:30 7:00 pm Saturday, May 21 Saturday, May 28 Lifeguard applicants (by appointment) 6:00 7:00 pm Blessing of the 4:45 p.m. Guards Lifeguard applicants (by appointment) 5:30 8:00 pm Saturday, May 28 Bayview Park - Lifeguard applicants 9:00 a.m. Sunday, May 29 Bayview Park - Lifeguard applicants 9:00 a.m. Please be on time! Arrangements have been made to use the Pool for pre-season training. From April 11 th June 3 rd, every Tuesday and Thursday and from 7:00 am 9:00 am, Monday and Wednesday from 5:45 pm 7:45 pm, and Saturday from 8:00 am to 10:00 am, three lanes of the pool have been reserved for anyone, veterans, rookies and LITs/B-LITs; trying out for LBTBP. Enter at the east poolside door, sign in and respect all pool rules. There are no scheduled swim tests for lifeguard applicants after May 28 th at! If we have not received your application, you will not be on the list at the Aquatic Center for pre-test and pre-season pool training. Orientation Meeting for Lifeguards Job description and duties will be discussed as will other related subjects work hours, salaries, LBTBP beach policies, patrol officers, etc. Patrol assignments will take place at this time. You must wear shoes & a shirt or you will be sent home. Uniforms and equipment will be distributed later the same day; the schedule will be announced at the orientation meeting. Please be on time. Attendance is mandatory; lifeguards will be paid for their presence. Saturday, June 18, :30 am 12:30 pm Long Beach Island Grade School, 20 th Street & Central, Ship Bottom

5 Medical or Osteopathic Physician s Documentation of the Physical Health of an Individual Applying for Participation in the Long Beach Township Beach Patrol Lifeguard-In-Training (LIT) Program I certify that I have examined/documented: First Name Middle Initial Last Name Date of Birth Permanent City State Zip and find his/her condition as indicated below: In my opinion the above named individual (Check one) q Does possess the adequate vision, hearing acuity, physical ability, and stamina to participate in the activities of the LBTBP Lifeguard-In-Training (LIT) Program. q Does not possess the adequate vision, hearing acuity, physical ability, and stamina to participate in the activities of the LBTBP Lifeguard-In-Training (LIT) Program. To participate in the activities of the LBTBP Lifeguard-In-Training (LIT) Program the above named individual must be able to do the following: Running/sprinting on beach/sand Ocean swimming Paddling a rescue paddleboard in ocean/surf Rowing a surfboat in ocean Signature of Physician Date # City State Zip *This form must be stamped by the physician s office doing the exam using their office/business stamp and/or notarized.