Lifeguard Application Details
Please fill out your information below.
Personal Information
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
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Day
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Month
Please select a year
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Year
Gender
*
Male
Female
Prefer not to say
Other (please state)
Do you identify as Aboriginal and/or Torres Strait Islander?
*
Yes
No
Prefer not to say
Nationality
*
Region Interested in Lifeguarding In
*
North Queensland
Townsville
Mackay
Wide Bay Capricorn
Noosa
Sunshine Coast North (Alex Headlands - Coolum North)
Sunshine Coast South (Mooloolaba - Golden Beach)
South East Queensland
South Bank
South Bank First Aider
Please Note:
You have selected you are interested in working at South Bank as a First Aider, this only requires First Aid (FA) and Advanced Resuscitation Techniques (ART), training will be provided for suitable candidates.
Please select which SEQ area you are interested in:
*
Bribie Island
Rainbow Beach
North Stradbroke Island
Moreton Island
Star Casino Gold Coast
Star Casino Brisbane
Work Availability
*
Rows
General
School Holidays
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Residential Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
Postal Address is
Same as above
Postal Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
Phone Number
*
E-mail
*
example@example.com
What Surf Life Saving Club are/were you apart of?
Are you currently employed by Surf Life Saving Queensland?
*
Yes
No
If yes, please specify role:
Medical History
Have you sustained or do you carry any illness or limiting disability that may affect your ability to complete any physical components of the training and/or duties required?
*
Yes
No
Do you suffer from any known medical condition?
*
Yes
No
If yes, please provide details:
NOTE: You may be required to supply a medical certificate prior or during your employment as a Lifeguard.
Emergency Contact Details
Emergency Contact Name
*
Emergency Contact Phone Number
*
Emergency Contact Address
*
Street Address
Street Address Line 2
Suburb
State
Post Code
Relationship
*
Reference Checks
Please provide 2 referees SLSQ have permission to contact
Referee 1
*
First Name
Last Name
Email
*
example@example.com
Contact Number
*
Relationship to you
*
Referee 2
*
First Name
Last Name
Email
*
example@example.com
Contact Number
*
Relationship to you
*
Experience
Please specify any relevant experience
*
Please provide any other additional information that may be relevant
*
Required Documentation
Do you currently have any of the following qualifications
SLSA Bronze/ Cert II
First Aid
Advanced Resuscitation Techniques (ART)
Silver Medallion Beach Management (SMBM)
Marine/Jet Ski Licence
Blue Card / Reference No.
*
Paid (P) Blue Card only
Expiry Date
-
Day
-
Month
Year
If applicable
Drivers Licence No.
*
Expiry Date
*
-
Day
-
Month
Year
Drivers Licence No.
*
-
Attachments
Please attach a copy of your:
*
Blue Card / Confirmation of lodgement
Drivers Licence
Resume
*
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Disclaimer
This is an application only, you are not employed by SLSQ until you receive a contract of employment.
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