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11 POSITION APPLIED FOR: __Aquatics Specialist $15.46/hour _ Date: Employment Application City of Cody P.O. Box 2200 ~ Cody, WY 82414 Name Last First Middle Street/Mailing Address: City St Zip Email Address: Work Phone: Home Phone: Cell Phone: List other names, if any, used on employment or education records: Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? □ Yes □ No Are you 18 yrs or older? □ Yes □ No Are you under the age of 14? □ Yes □ No For Temporary/Seasonal Hire – Please complete the following. Dates Available for Employment: From to Have you ever been convicted of a felony? □ Yes □ No If yes, describe in full detail, giving dates (Criminal convictions are not an absolute bar to employment, but will be considered in relation to specific job requirements.) Have you ever worked for or are you currently working for the City of Cody? □ Yes □ No If yes, please give dates and department(s): Prior Position(s): Reason(s) for leaving: Do you have any relatives working for the City of Cody? □ Yes □ No If yes, please give their name, department and relationship: P E R S O N A L I N F O R M A T I O N ---PAGE BREAK--- E D U C A T I O N School Name and Address of School Course Circle Last Year Did You List Diploma Of Study Completed Graduate or Degree(s) High 8 9 10 11 12 □ Yes □ No College 1 2 3 4 □ Yes □ No Other (Specify) S P E C I A L S K I L L S Special Skills Relating To The Position For Which You Are Applying: (clerical skills, heavy equipment operating skills, etc.) C E R T I F I C A T I O N S Driver’s License: If required for this position: Do you have a valid Driver’s License? □ Yes □ No State: License Number: Expiration Date: Do you have a Commercial Driver’s License? □Yes □ No If yes, specify: Class: B, C) Endorsements Held: Hazardous Material □ Tanker □ Airbrakes □ Passenger □ (Please check all that apply) Other (specify) Certificates: (CPA, PE, Boiler Operator, Life guard, etc) Name and address of Licensing Agency Type of License Endorsement/Restriction (if applicable) Date Licensed Date Expires (if applicable) ---PAGE BREAK--- E M P L O Y M E N T H I S T O R Y Employment Experience Instructions: Begin with your present or most recent job and list your entire work experience with emphasis on experience relevant to the position for which you are applying. Include military service and any volunteer work which provided experience that would help you qualify. If the space below is not adequate, you may continue this section on a separate sheet of paper. This information must be completed. Notice to Applicants: Information that you provide on this application is subject to verification. Previous employers may be contacted as references or for verification. Do you want to be informed before we contact your present employer? □ Yes □ No Current Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: Past Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: Past Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: AUTHORIZATION TO RELEASE INFORMATION I certify that all information provided in this application is true and complete. I understand misrepresentation or omission of facts during the application or selection process may disqualify me from further consideration and may be cause for dismissal. I understand the City of Cody may conduct a background investigation, which may include obtaining information as to my character, reputation, and mode of living. This may include interviews with my relatives, neighbors, friends, former employers, schools and others. I understand I have the right to make a written request within a reasonable time for the disclosure of the name and address of any consumer reporting agency which may be utilized in the background investigation so I may obtain a complete disclosure of the nature and scope of the investigation. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations named in this application to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre- employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I understand that I may also be required to successfully pass drug and alcohol screening examinations. I hereby consent to pre- and/or post-employment drug and alcohol screens as a condition of employment, if required. I have read, understand, and by my signature, consent to these statements. I authorize investigation of all information contained in this application. Signature of Applicant Date (Revised 2013) References: List three references, excluding relatives, who have knowledge of your ability to perform this job. Name of Reference Complete Mailing Address Telephone Number Years Acquainted ---PAGE BREAK--- Past Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: Past Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: Past Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: Past Employer: Mailing Address: Street Address: Date Employed: From Salary/Wage: Position(s) Held: Contact Name and Title: Phone Description of work performed: Reason for leaving: ---PAGE BREAK--- City of Cody Job Description Title: Aquatics Specialist Code: 255 Department: Parks/Recreation/Public Facilities Effective Date: 03/2007 Division: Recreation Last Revised: GENERAL PURPOSE Performs a variety of routine lead worker duties as needed to assure the day-to-day operations and services of the city aquatics facility. Performs as Head Lifeguard and assumes responsibility for the facility. SUPERVISION RECEIVED Works under the general supervision of the Aquatics Supervisor. SUPERVISION EXERCISED Provides close to general supervision to provisional and seasonal Aquatics I, II and III personnel. ESSENTIAL FUNCTIONS Leads and performs routine aquatics work in teaching swimming lessons and serving as head pool life guard. Monitors activities in swimming areas to prevent accidents and provide assistance; assists with a variety of swim program activities including scheduling life guard shifts, training, etc.; handles public complaints and promotes positive public relations; refers complex issues to supervisors. Monitors patron activities to assure compliance with facility policies and rules; assures safety guidelines are adhered to; reprimands patrons or ejects patrons from the facility for violations of rules. Enforces facility policies and procedures related to patron use, safety, etc.; prepares various forms, attendance records, and reports as required (i.e. accident forms, etc.) Assists to coordinate, plan, and organize aquatics programs for seniors, adults, and youth including swimming lessons, teaching Physical Education classes, water aerobics, and youth/tot programs as well as special interest classes; performs general administrative support duties assisting the Aquatics Supervisor; may participate in hiring processes and interviewing; may perform new hire orientations; participates in new hire training. Works assigned shifts; performs as a certified pool operator; monitors facility operations to assure compliance with state and federal operations and safety guidelines; assists in training of personnel; monitors facility safety practices; monitors pool water quality and chemical balances through sampling and testing; participates in daily testing to assure overall quality of pool maintenance. Monitors and performs general upkeep and custodial duties; cleans facility floors, mops, sweeps, vacuums, polishes, etc.; cleans pool decks; monitors water temperatures and chemical balances, takes water samples; may make minor equipment adjustments to assure proper temperature and chemical standards; performs cleaning of chlorinator utilizing caustic chemicals, i.e., acid, requiring use of respirator. ---PAGE BREAK--- Assists in set up and conducting of special events, i.e., swim meets; operates timing equipment; performs as public announcer. Operates personal computer and specialized software, i.e., MS publisher, Word, etc. Performs related duties as required. MINIMUM QUALIFICATIONS 1. Education and Experience: A. Graduation from high school or G.E.D.; AND B. Two years of experience as a certified life guard, swimming instruction, or water safety instructor; OR C. An equivalent combination of education and experience. 2. Knowledge, Skills, and Abilities: Some knowledge of the philosophy and objectives of community recreation programming; the rules and regulations of a variety of swimming sports and recreational activities; equipment, facilities, operations and techniques used in a comprehensive community recreation program; state and federal regulations governing facility and pool operations; climate control systems; swimming pool structures; water filtration systems; chemical handling; air balancing systems; public health standards related to pool operations; basic office equipment. Ability to demonstrate maturity consistent with the established duties and responsibilities of the position; organize swim teams and activity programs, establish and maintain effective working relationships with employees, youth, other organizations, and the public; communicate effectively, verbally and in writing. 3. Special Qualifications: Must be certified as a Lifeguard, Water Safety Instructor, and Certified Pool Operator within 6 months of employment, unless course is not available. If course is not available, certification must be achieved with the next available date and with the authorization of the Aquatics Supervisor. Must obtain and maintain current CPR for the professional rescuer through the American Red Cross. Must obtain and maintain a valid Wyoming Driver’s license. 4. Work Environment: Incumbent of the position performs in a climate-controlled environment. Tasks require variety of physical activities, generally involving muscular strain, such as swimming, walking, standing, stooping, sitting, reaching, talking, hearing and seeing. Frequent communication with the public requiring the ability to talking, hear and seeing. Common eye, hand, finger, leg and foot dexterity required to perform as swimming instructor. Mental application utilizes memory for details, verbal instructions, emotional stability and discriminating thinking. Workers are frequently exposed to moving mechanical parts, toxic or caustic chemicals, and risk of electric shock.