Parent / Guardian Details
Relationship to Prospective Applicant
Address (if different from prospective applicant’s address)
Mobile Number for use in Emergency
Date of Birth
Your Email (required)
Please note that the Club uses email to communicate with its staff and an up to date email address is essential. The Club will not communicate through parent’s email addresses or mobile phones or any other third party.
Home Phone No
I am interested in Voluntary work Yes No
I am interested in Paid work Yes No
I am interested in either Voluntary or Paid work Yes No
Please check out the website for addresses or all the pools we operate from.
a)Surrey Sports Park LTS (hours mainly during morning and afternoon and some evenings – No weekends. Yes No
b)Club Squad Teaching and coaching (mainly evening and weekends). Yes No
c) I am interested in both SSP LTS and Club Squad Teaching. Yes No
e.g. Swimming Teacher / Swimming Coach; other please state:
Please complete the following:
ASA Qualified Coach Yes No If ‘Yes’ please state the level
ASA Qualified Teacher Yes No If ‘Yes’ please state the level
STA Qualified Teacher Yes No If ‘Yes’ please state the level
and expiry date
ASA Aquatic Helper’s Certificate Yes No
Please prove you are human
This form will be sent direct to Janette Smith Human Resources Manager and a “Thank You” email will be sent on receipt. We will then be in touch with further information.
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