Get Application For Approval Of Lifeguard Qualifications - Nassau County - Nassaucountyny

This guide provides you with clear and supportive instructions on how to effectively complete the Application For Approval Of Lifeguard Qualifications for Nassau County online. Follow these steps to ensure that your application is filled out correctly and efficiently.

Follow the steps to successfully complete your application online.

1. Press the ‘Get Form’ button to access and open the application form.
2. Enter your last name, first name, and middle initial in the designated fields, ensuring to print clearly.
3. Fill in your street address, town, state, and zip code in the appropriate sections.
4. Provide your date of birth in the specified format.
5. Enter your email address and phone number.
6. Complete the eye examination section: have your physician enter the best vision test score (Snellen) for each eye, with and without corrective lenses. Make sure to enter only the numerical score (e.g., 20/20).
7. Indicate whether you require corrective lenses to achieve a minimum Snellen score of 20/40 in one eye by selecting 'Yes' or 'No'.
8. Ensure your physician's name, signature, address, phone number, and license number are filled out in the physician's section.
9. Complete the medical examination section with normal or abnormal responses for each item listed.
10. The physician must also provide their recommendation regarding your suitability for the lifeguard position, along with their signature and required information.
11. Review and sign the acknowledgment statement indicating that any falsifications will lead to automatic penalties. Date your signature.
12. Submit a check or money order in the amount of $100, made payable to the Treasurer of Nassau County.
13. Ensure that all fields are completed accurately as incomplete applications may delay processing. Save your changes before finalizing your submission.

Complete your application online today to take the first step towards your lifeguard certification.