NTAC Application Form

North Toronto Aquatic Club Application Form

Box 94073

Toronto RPO Bedford, Ontario

M4N 3R1

416-483-2929

www.ntac.ca info@ntac.ca
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone Number*

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Advise if you have a current Vulnerable Person’s Police Record Check.
Upload Vulnerable Person’s Police Record Check.

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If you do not have a current Vulnerable Person's Police Check Form and you are over 18 and successfuly offered a postition you will need to apply with a link we will provide to you.
Aquatic Education*
List Experience or upload resume
Upload resume

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Available start date (we do not operate in the summer):*

MonthDayYear
What position are you applying for?*
Total # of shifts you want *
The shifts available for work are as follows: Monday, Tuesday, Wednesday, Thursday (all weekday shifts start at 5:45pm), Saturday 9:00am *
Please choose your top 4 shifts and list them in order of 1, 2, 3, 4.
Please complete the following section if you are applying for a Swim Instructor or LSS Award Instructor position.
I prefer instructing (please check off all pertinent categories)

Beginning level swimmers (i.e. NTAC levels 00-03)Mid level swimmers (i.e. NTAC levels 04-08)Senior level swimmers (i.e. NTAC levels 08-13)Competitive ClassesAdult Swimming ClassesBronze StarBronze MedallionBronze CrossNLSStandard First Aid and CPR C
For Specialty and LSS Awards Classes please list any prior experience in these areas.
Current Aquatic and First Aid Qualifications

All lifesaving and instructor awards are current for two years from date of certification. All first aid awards are current for three years from date of certification. For all LSS-please provide 6 digit Alphanumeric Code found on the permanent card, lower right hand corner. For all other, (Red Cross Water Safety Instructor & Standard First Aid + CPR C* or other, please upload photocopies.
LSS Bronze Cross
LSS NLS
LSS Swim Instructor
LSS Lifesaving Instructor
LSS Other
Upload Photocopy

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Where did you hear about us?
Today's Date*

MonthDayYear
Signature*
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