2014 VACSWIM APPLICATION PACK

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1 2014 VACSWIM APPLICATION PACK KICK-START YOUR CAREER BY PARTICIPATING IN ONE OF SA'S LARGEST COMMUNITY EVENTS! The annual VACSWIM program is a South Australian Government funded program managed by the YMCA of South Australia. Each year it engages up to 18,000 school aged children at more than 145 sites across the state. VACSWIM s aim is to reduce the incidence of drowning amongst the younger generations. In 2014, the SA Water VACSWIM program will officially commence on Monday 6 th January 2014 and continue through until Tuesday 14 th January 2014, excluding weekends (some locations will run outside of this period so you are encouraged to check our website for regular updates). If you re seeking employment and will be at least 15 years of age at the beginning of the program, please complete ALL SECTIONS of pages 2-7 and return to the VACSWIM office as soon as possible (our contact details are listed on the Instructor Checklist at the end of the document). THE FIRST ROUND OF APPLICATIONS WILL CLOSE ON MONDAY 30 TH SEPTEMBER The VACSWIM office will start appointing eligible instructors on the 1 st October 2013 and will continue this process until all positions/sites have been filled. Whilst our recruitment team will do their best to place successful applicants at their preferred site, there is no guarantee that you ll receive any of your preferences. Should you have any further queries, please contact the 2014 SA Water VACSWIM team on (08) or vacswimsa@ymca.org.au. We look forward to receiving your paperwork and wish you all the best with your application. Kind Regards, Denise Power VACSWIM Administration Manager YMCA of South Australia Enc. Application Form, Instructor Checklist and Proposed VACSWIM Sites Page 1 of 9

2 SECTION A: EMPLOYMENT CRITERIA This section outlines the qualifications required to teach at a VACSWIM site. For further clarification, please read PAGE 9 or visit our website To obtain a position within the 2014 SA Water VACSWIM program, the following qualifications must be valid until 30/01/2014. NOTE: All instructors must complete an annual competency update. RLSS-SA POOL/LAKE RLSS-SA BEACH SLSSA BEACH Instructor in Charge (IC) Statutory History Check Apply First Aid Training Training be updated annually) Child Safe Environments Training- full course required/ Nipper Safe certificates current will be accepted Austswim/ RLSSA Instructor accreditation Instructor in Charge (IC) Apply First Aid Training Training Child Safe Environments Training- full course required/ Nipper Safe certificates current will be accepted SLSSA Rescue Award Updated Austswim/ RLSSA Instructor accreditation Instructor in Charge (IC) Apply First Aid Training Training Child Safe Environments Training- full course required/ Nipper Safe certificates current will be accepted SLSSA Bronze Medallion, Austswim, SLSSA Rescue certificate plus experience Instructor (I) Child Safe Environment Trainingpreferable Austswim/ RLSSA Instructor accreditation Apply First Aid Training- desirable Training Assistant Instructor (AI) RLSSA Bronze Medallion or Higher Child Safe Environment Awareness Current CPR Certificate is desirable but is an industry requirement for instructors and highly considered. (CPR must Instructor (I) Child Safe Environment Trainingpreferable Austswim/ RLSSA Instructor accreditation Apply First Aid Training- desirable Training Assistant Instructor (AI) RLSSA Bronze Medallion or Higher Child Safe Environment Awareness Current CPR Certificate is desirable but is an industry requirement for instructors and highly considered. (CPR must Instructor (I) Child Safe Environment Trainingpreferable/ Nipper Safe certificates current will be accepted Apply First Aid Training- desirable Training-desirable SLSSA Bronze Medallion, Austswim, SLSSA Rescue certificate plus experience Assistant Instructor (AI) Child Safe Environment Awareness Current CPR Certificate is desirable but is an industry requirement for instructors and highly considered. (CPR must Surf Rescue Certificate- minimum **All ICs/ instructors/assistant instructors must do an annual competency update Annual Aquatics Competency Update is relevant to the site you will be working (pool/beach), and if you have not done any further education in the past 6 months the following are acceptable: Basic Water Rescue/update - YMCA training RLSSA Vacswim qualification update SLSSA annual Update (surf) Other aquatic training completed this year e.g. pool life guard training or surf bronze medallion, if valid until 30 th January 2014 will cover. Assistant Instructor need to ensure their qualification will be valid until 30 th January If you did your bronze medallion or higher at Vacswim 2013 it will remain recognised until the completion of Vacswim 2014, however you are required to update these qualification annually and we recommend you do an update before commencing the program. SLSSA surf rescue awards need to be updated prior to the program. All surf awards expire in December annually. Instructors and Assistant instructors are required to hold a child safe environment certificate or must attend a session on child safe awareness. YMCA will conduct a 1 ¼ hour session that will cover the Child Safe Environments awareness and Train the instructor session. This session will cover such things as keeping children engaged, handy tips, dealing with parents, class sizes and many other helpful hints. ***** This will be seen favorably when employing Junior/Assistant instructors****** To book an update, please visit our website or contact YMCA Training on (08) , RLSS-SA on (08) or SLSSA on (08) Page 2 of 9

3 2014 VACSWIM PROGRAM APPLICATION FORM SECTION B: INSTRUCTOR DETAILS First Name/s Surname Date of Birth / / Age Home Number Mobile Number Fax Number (optional) Address (mandatory) Postal Address State Postcode Physical Address State Postcode Gender Male Female T-Shirt Size S M L XL XXL XXXL Hat Size S (53-55cm) M (55-57cm) L (58-60cm) SECTION C: EMPLOYMENT REFEREES Full Name Full Name Phone Number Phone Number SECTION D: PREVIOUS VACSWIM EXPERIENCE VACSWIM Site Position Year VACSWIM Site Position Year VACSWIM Site Position Year OTHER TEACHING EXPERIENCE IF NECESSARY, PLEASE PROVIDE MORE INFORMATION OVER THE PAGE. SECTION E: PREFERRED VACSWIM SITE/S First Preference Second Preference Third Preference (optional) Fourth Preference (optional) Position Position Position Position NOTES IF NECESSARY, PLEASE PROVIDE MORE INFORMATION OVER THE PAGE. Page 3 of 9

4 SECTION F: QUALIFICATION SUMMARY ALL APPLICANTS MUST COMPLETE THE SECTION BELOW Please supply an ID/license number and issue date for each qualification, where possible. If you ve yet to complete the required qualifications, please record the issue date as the date booked. For more information regarding qualifications and their life spans, please visit our website or contact our recruitment team on (08) or IF YOU WEREN T EMPLOYED FOR THE 2013 PROGRAM, PLEASE ATTACH THE CERTIFICATES RELEVANT TO YOUR POSITION PREVIOUS EMPLOYEES: VACSWIM has developed an electronic qualification checking system with RLSS-SA, SLSSA and AUSTSWIM therefore certificates are not required for any courses/qualifications completed with these organisations. Senior First Aid Training Asthma First Aid Training CPR Training (annual) Child Safe Environ. Training (formally Mandated Reporting ) RLSSA AWARDS RLSS-SA Junior Instruct. Award RLSS-SA L2 Examiners RLSS-SA L3 Examiners QUALIFICATIONS (IC s/ Instructors/ Assistant Instructors) RLSS-SA Instructors Award AUSTSWIM License SLSSA Surf Rescue Certificate SLSSA Cert II in Public Safety-Aquatic Rescue (formally Bronze Medallion ) UPDATES SLSSA Proficiency Update RLSS-SA VQU YMCA- BASIC WATER RESCUE UPDATE RLSS-SA & SLSSA RESCUE AWARDS RLSS-SA Bronze Medallion RLSS-SA Bronze Cross RLSS-SA Award of Merit RLSS-SA Distinction RLSS-SA Pool Lifeguard RLSS-SA Swim Teacher Rescue SECTION G: Page 4 of 9

5 SECTION G: GENERAL HEALTH The Occupational Health Safety & Welfare Act 1986, Section 21, emphasises that the onus is on you to declare any restrictions that you may have in relation to your health, to take reasonable care to protect your own health and safety, and to be careful not to aggravate any existing medical conditions. Furthermore, the onus is on you to inform the VACSWIM office, in writing, of any restrictions you have in relation to your health. The onus is also on you to advise if medical changes occur which may affect your employment situation or the terms of your employment. A. I understand that if further medical information is required I may be asked to give written authorisation for a government approved medical officer to approach the relevant medical practitioner YES NO B. Are you physically fit and able to perform the duties of an Instructor in Charge, Instructor or Assistant Instructor, including rescue functions, without assistance? YES NO C. Do you have a physical or mental disorder which may require you to have assistance in performing duties of an Instructor in Charge, Instructor or Assistant Instructor? YES NO If you answered YES to QUESTION C, please describe your condition SECTION H: MEDICAL CONDITIONS Please indicate if you have any of the following medical conditions; further information must be supplied if requested by the VACSWIM office or Instructor in Charge. Asthma Diabetes Epilepsy Heart Condition Allergies Other (explain below) NOT APPLICABLE SECTION I: WORKERS COMPENSATION Have you ever received workers compensation? YES NO If you answered YES to the question above, please provide specific details regarding your claims/s: Year State Reason Year State Reason IF NECESSARY, PLEASE PROVIDE MORE INFORMATION OVER THE PAGE. Page 5 of 9

6 SECTION J: RESIDENCY In order to work within the 2014 SA Water VACSWIM program, applicants must be a permanent resident of Australia or hold a current permit to work in Australia. Are you a permanent resident of Australia? YES NO If not, do you hold eligibility to work in Australia? (evidence must be attached) YES NO SECTION K: CRIMINAL HISTORY CHECK This section applies to all applicants including those under 18 years of age. Given that the Instructor in Charge, Instructor and Assistant Instructor positions are prescribed positions under the Children s Protection Act, all applicants are obliged to provide one of the following documents before commencing employment with the 2014 SA Water VACSWIM program. National Police Certificate DECS Clearance Teachers Registration SAPOL Police Officers Registration Have you attached a certified* copy of either of the above documents If you answered NO to the question above, have you applied for a National Police Certificate? Furthermore, have you any reason to believe that any prosecution or charge against you may be pending? YES NO YES NO YES NO *To gain a certified copy, please take the original document to a South Australian Police Officer or Justice of the Peace. They will provide a notarised/certified copy which must be forward to the VACSWIM office for approval. INSTRUCTOR STATEMENT & DECLARATION I declare that the information provided in the 2014 Application Pack is true and correct, and acknowledge that any willful suppression or inaccuracy may render me liable to dismissal or prosecution. I declare that I am medically fit to undertake the tasks associated with swimming instruction. I authorise the VACSWIM office to access information exclusively regarding my application, employment and qualifications from AUSTSWIM, RLSS-SA and SLSSA and provide these details to the YMCA of South Australia and the Office for Recreation & Sport for the purposes of child protection. Instructor Signature Witness Signature Date Signed / / Date Signed / / The information supplied within the 2014 Application Pack is necessary to assess an applicant s eligibility. The information supplied is for the use of YMCA of South Australia for the 2014 SA Water VACSWIM program, and will be treated with the utmost respect and confidentiality. It should also be noted that selection is based on merit and that there will be no unlawful discrimination against any persons seeking employment within the 2014 SA Water VACSWIM program. Page 6 of 9

7 AS PER OATHS ACT 1936 STATUTORY DECLARATION A Statutory Declaration is required for all applicants/employees of the 2014 SA Water VACSWIM program. Please ensure all sections are complete before submitting your employment application to the VACSWIM office. I (given name/s) (surname) of (street address, suburb/town and postcode) Do solemnly and sincerely declare that: i) I have no criminal convictions arising out of the abuse, neglect or assault (including sexual assault) of a person; and ii) If I am charged with any crime that may lead to a relevant conviction, I will promptly notify the VACSWIM office; and iii) I have never been investigated for any unlawful act against a minor; and iv) I have never been refused or had my swimming instructor registration or other accreditation suspended for any breach of a code of conduct relating to any sport; and v) I am of, or over the age of, 15 years. I provide the following names of persons willing to attest to me being a fit and proper person to work as a contact person with children: FULL Name FULL Name FULL Name Phone Number Phone Number Phone Number And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Oaths Act 1936, and as amended. (Signature of the person making the declaration) Declared at in the state of South Australia On this day of 20 BEFORE ME Name in FULL Title ID Number PLEASE NOTE: A Justice of the Peace, Notary Public/Barrister/Solicitor or Officer by Law are authorised to administer an oath or affirmation pursuant to the Oaths Act Page 7 of 9

8 2014 VACSWIM PROGRAM INSTRUCTOR CHECK-LIST Before returning your application form for the 2014 SA Water VACSWIM program, please go through the following checklist a correct and accurate application will increase your chance of being employed. ASSISTANT INSTRUCTORS, we recommend that you work through the application form and checklist with a parent and/or caregiver to ensure that you ve understood the criteria and completed each question correctly. DON T SUBMIT YOUR APPLICATION WITHOUT; Understanding the qualifications listed in SECTION A. (Please read carefully as these have been updated for 2014 program) Indicating your t-shirt size and hat size in SECTION B. Recording your address clearly and accurately in SECTION B. Providing names/phone numbers for two employment referees in SECTION C. Listing your preferred employment sites in SECTION E. Attaching photocopies of all required certificates outlined in SECTION F for new employees. Listing all current/relevant/booked qualifications in SECTION F noting the type, where applicable. Answering all YES/NO questions in SECTION G. Ticking at least one box in SECTION H and providing additional information if you ticked other. Answering the YES/NO question in SECTION I. Answering at least one YES/NO question in SECTION J. Attaching a certified copy of your Criminal History Check as explained in SECTION K. Signing and dating the application form on PAGE 6. Asking a parent, relative or friend to witness your signature on PAGE 6. Attaching the Statutory Declaration on PAGE 7 which has been witnessed by a Justice of the Peace, Notary Public/Barrister/Solicitor or Officer by Law. Attaching the certificates relevant to your position. Furthermore: I will be at least 15 years of age when the 2014 SA Water VACSWIM program commences. I have photocopied/scanned my completed application form for my own records (optional). If you ve successfully ticked the relevant boxes above, please forward your application using one of the following methods: POST: PO Box 20, Fulham Gardens SA vacswimsa@ymca.org.au FAX: (08) Thank you for applying for a position within the 2014 SA Water VACSWIM program. Should you have any further queries, please contact our recruitment team on (08) or vacswimsa@ymca.org.au. Kind Regards, Denise Power VACSWIM Administration Manager YMCA of South Australia Page 8 of 9

9 2014 VACSWIM PROGRAM PROPOSED VACSWIM SITES Adelaide Aquatic Centre RLSS-SA Pool Moana Beach SLSSA Beach Adelaide Hills War Memorial Swimming Centre RLSS-SA Pool Moonta Bay Beach RLSS-SA Beach Aldinga Beach SLSSA Beach Morgan Primary School RLSS-SA Pool Angaston Primary School (L3) RLSS-SA Pool Mount Gambier Aquatic Centre RLSS-SA Pool Arno Bay Beach RLSS-SA Beach Mountain Pool - Mount Barker RLSS-SA Pool Balaklava & District War Memorial Swimming Pool RLSS-SA Pool Murray Bridge Swimming Centre RLSS-SA Pool Balgowan Beach RLSS-SA Beach Nangwarry Swimming Pool (L7) RLSS-SA Pool Barossa Aquatic Fitness RLSS-SA Pool Naracoorte Swimming Lake RLSS-SA Pool Beachport Beach SLSSA Beach Noarlunga Leisure Centre RLSS-SA Pool Berri District Swimming Pool RLSS-SA Pool Normanville Beach SLSSA Beach Black Forest Primary School (L3) RLSS-SA Pool Northfield Primary School (L6) RLSS-SA Pool Black Point Beach RLSS-SA Beach Norwood Swimming Centre RLSS-SA Pool Booborowie Primary School RLSS-SA Pool Orroroo Community Pool RLSS-SA Pool Booleroo Centre Swimming Pool RLSS-SA Pool Parks Sports, Fitness & Aquatics RLSS-SA Pool Brinkworth Primary School RLSS-SA Pool Payneham Swimming Centre RLSS-SA Pool Burnside Swimming Centre RLSS-SA Pool Penneshaw Beach K.I. SLSSA Beach Burra Swimming Pool RLSS-SA Pool Penola Swimming Pool RLSS-SA Pool Cadell Primary School (L3) RLSS-SA Pool Peterborough Swimming Pool RLSS-SA Pool Cambrai Pool RLSS-SA Pool Pinnaroo Swimming Centre RLSS-SA Pool Carrieton Swimming Pool RLSS-SA Pool Point Sinclair - Penong Beach SLSSA Beach Ceduna Area School RLSS-SA Pool Point Turton Beach RLSS-SA Beach Clare - The Valleys Lifestyle Centre RLSS-SA Pool Port Augusta - Ryan Mitchell Swimming Centre RLSS-SA Pool Cleve Area School RLSS-SA Pool Port Broughton Beach RLSS-SA Beach Coffin Bay Beach RLSS-SA Beach Port Elliot Beach SLSSA Beach Coober Pedy Swimming Pool RLSS-SA Pool Port Lincoln Beach RLSS-SA Beach Coomandook Area School (TBC) RLSS-SA Pool Port Lincoln Leisure Centre RLSS-SA Pool Coonalpyn Swimming Pool RLSS-SA Pool Port Neill Beach RLSS-SA Beach Cowell Area School RLSS-SA Pool Port Noarlunga Beach SLSSA Beach Crystal Brook Swimming Pool RLSS-SA Pool Port Pirie Swimming Centre RLSS-SA Pool Cummins Swimming Pool RLSS-SA Pool Port Rickaby Beach RLSS-SA Beach Darke Peak Community Pool RLSS-SA Pool Port Vincent Beach RLSS-SA Beach East Murray Area School RLSS-SA Pool Portside Swim & Leisure Centre (L3) RLSS-SA Pool Edithburgh Tidal Pool RLSS-SA Beach Quorn Memorial Swimming Pool (TBC) RLSS-SA Pool Elizabeth Aquadome RLSS-SA Pool Ramco Primary School RLSS-SA Pool Elliston Beach SLSSA Beach Renmark Swimming Centre RLSS-SA Pool Emu Bay Beach K.I. SLSSA Beach Riverton Swimming Pool RLSS-SA Pool Eudunda Swimming Pool RLSS-SA Pool Robe Beach SLSSA Beach Fit Life RLSS-SA Pool SA Aquatic & Leisure Centre (L5) RLSS-SA Pool Gawler Swimming Centre RLSS-SA Pool Salisbury Recreation Precinct RLSS-SA Pool Geranium Primary School RLSS-SA Pool Seacliff Beach SLSSA Beach Gladstone Swimming Pool RLSS-SA Pool Semaphore Park Foreshore SLSSA Beach Glenelg Beach SLSSA Beach Smoky Bay Beach RLSS-SA Beach Goolwa Caravan Park (L5) RLSS-SA Pool Snowtown Area School RLSS-SA Pool Grange Beach SLSSA Beach Somerton Beach SLSSA Beach Hallett Community Pool RLSS-SA Pool Spalding Swimming Pool RLSS-SA Pool Hamley Bridge Swimming Pool RLSS-SA Pool Stansbury Beach RLSS-SA Beach Hawker Swimming Pool RLSS-SA Pool Strathalbyn Community Swimming Pool RLSS-SA Pool Henley Beach SLSSA Beach Streaky Bay Area School (L3) RLSS-SA Pool Jamestown Swimming Pool RLSS-SA Pool Streaky Bay Jetty Pool (L5-L7A) RLSS-SA Beach Kapunda Swimming Pool RLSS-SA Pool Swan Reach Area School (L7) RLSS-SA Pool Karoonda Area School RLSS-SA Pool Tailem Bend Primary School (L7) RLSS-SA Pool Keith Swimming Pool RLSS-SA Pool Tatiara Memorial Pool (Bordertown) RLSS-SA Pool Kimba Area School RLSS-SA Pool Thebarton Aquatic Centre RLSS-SA Pool Kingston Community School RLSS-SA Pool Tintinara Area School RLSS-SA Pool Lameroo Swimming Centre RLSS-SA Pool Tumby Bay Beach (S7/LA) RLSS-SA Beach Leigh Creek Swimming Centre RLSS-SA Pool Unley Swimming Centre RLSS-SA Pool Lock & District Swimming Centre RLSS-SA Pool Urrbrae High School RLSS-SA Pool Loxton Swimming Pool RLSS-SA Pool Venus Bay Beach SLSSA Beach Lucindale Area School (L4) RLSS-SA Pool Victor Harbor Primary School RLSS-SA Pool Lucky Bay Beach RLSS-SA Beach Vivonne Bay Beach K.I. SLSSA Beach Magill Pool (UniSA) RLSS-SA Pool Waikerie Swimming Pool RLSS-SA Pool Maitland Area School (L7) RLSS-SA Pool Wallaroo Beach RLSS-SA Beach Mannum Community College RLSS-SA Pool Waterworld Aquatic Centre (Tea Tree Gully) RLSS-SA Pool Marion Bay Beach SLSSA Beach West Beach Primary School (L5) RLSS-SA Pool Marion Outdoor Swimming Centre RLSS-SA Pool West Beach Surf Centre SLSSA Beach Meningie Area School RLSS-SA Pool Whyalla Leisure Centre RLSS-SA Pool Millicent Swimming Lake RLSS-SA Pool Williamstown Swimming Pool RLSS-SA Pool Minda Aquatic Centre (L7) RLSS-SA Pool Wilmington Primary School (L7) RLSS-SA Pool Minnipa & Districts Swimming Pool RLSS-SA Pool Woodville Primary School (L3) RLSS-SA Pool Mitcham Girls High School (TBC) RLSS-SA Pool Wudinna & Districts Swimming Pool RLSS-SA Pool *TBC: To be confirmed SITES/CLASSIFICATIONS ARE SUBJECT TO CHANGE, PLEASE CHECK OUR WEBSITE FOR MORE INFORMATION. Page 9 of 9

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