University of Vermont

Employment

Learn to Swim Instructor Employment Application

First Name:
Last Name:

Local Address:
Street:
City: State: Zip Code:
Primary Telephone: Secondary Telephone:
E-mail:

Current CPR & First Aid certification expiration date (required): (MM/DD/YYYY)

Current lifeguard certification expiration date (required): (MM/DD/YYYY):

Do you have a current Water Safety Instructor certification? (preferred, but not required) Yes No
If yes, please list expiration date (MM/DD/YYYY):

Do you have work study? (preferred, but not required) Yes No

Whis is your year in school?:

Please describe any swim instructor experience you have

Problems with submission? Contact Shelby Hinkle-Smith

Back to Top