Complete this form to indicate your interest in aquatics positions with Pleasant Hill Recreation & Park District. If you have any questions, please contact kriley@pleasanthillrec.com.

First Name*

Last Name*

Email address*

Phone Number (include area code)*

Indicate which position(s) you would like to work:*

Lifeguard Swim Instructor

Swim Coach Other

Aquatics positions require current American Red Cross Lifeguarding/First Aid/CPR/AED certification. Attach a copy of your certification.

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Check the box if you don't have current certification, but are signed up for a class.

I'm signed up for a class!