LifeGuard Application Instructions

INSTRUCTIONS FOR COMPLETING APPLICATION

1. All applicants are required to file in person unless you have already been photographed in this office. This office will process all applicants between the hours of 9 AM - 4 PM, Monday - Friday. Please come to the North entrance of the building. All applicants please call (516) 227-9678 prior to visiting the Health Department Lifeguard Office.



2. Have your physician(s) enter the results of your medical, eye and hearing examination on the reverse side of this form. Physician(s) information and signatures must be completed in both sections of the application. No copies or faxes accepted. The examination is valid for one year. A medical doctor must perform the medical and hearing examination.



3. Provide a copy of your Basic Lifeguarding or Lifeguard Training card.



4. If you are recertifying, please bring your current or expired card. You must recertify within one month of the expiration date.



5. Sign your name in the space provided on the reverse side of this form.



6. All applicants must submit a check or money order [NOT CASH] in the amount of $35.00 payable to Nassau County Health Department.



7. Please be advised there may be a 4-week waiting period from the time you apply to the next available test date. For those interested in applying for a restricted card, test dates are offered late spring through early summer on a limited basis.



8. Please be advised, an application must be complete in order for an applicant to be processed. There are NO exceptions!