Ben Hair Just Swim for Life Volunteer Application
Thank you for your interest in the Ben Hair Just Swim for Life Foundation! We have a number of volunteering opportunities available as part of our mission to "waterproof" Central Virginia and ensure that everyone has the opportunity to learn how to swim and is safe around the water. There are three different levels at which you can volunteer. (1) Water Safety Instructors (WSIs) must be at least 16 years old and hold a valid Water Safety Instructors certification. (2) Swim Aides will work under the direct supervision of a certified WSI and must be at least 13 years old and proficient swimmers. (3) Dry Deck Volunteers will help with out of the water aspects of the lessons and must be at least 18 years old.

1. FIll out this application form.

2. Click on the Sign-up Genius Link that will be presented after you complete this application. (The link is also available on www.bhjsl.org under the "How Can I Get Involved tab).

3. Select the sessions that you will volunteer.

Rules for Volunteer Participation
1. Background Checks are required of ALL VOLUNTEERS regardless of age. This background check will be run using the information provided on this form. Eligibility to become a volunteer is subject to the results of this Background Check. BH-JSL will cover the costs of this Background check.

2. All Swim Lessons will be supervised by a responsible person 18 years or older who has had a background check.

First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
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State *
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Zip Code *
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Primary Phone Number *
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Home Phone Number
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Cell Phone Number
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Work Phone Number
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Email Address *
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Birth Date *
mm/dd/yyyy
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Emergency Contact Information
Contact's Full Name *
First, Last
Your answer
Contact's Relation to Volunteer *
Your answer
Contact's Primary Phone Number *
Your answer
Contact's Email Address *
Your answer
Future Volunteering Interest and General Volunteer Information
Do you hold a current Water Safety Instructors (WSI) Certification or equivalent? *
This is required only if you will be volunteering as a WSI.
Are you interested in becoming a Water Safety Instructor (WSI) or equivalent? *
Volunteering Interest *
In what capacity would you like to volunteer. WSIs must be at least 16 years old and hold a valid certification. Swim Aides must be at least 13 years old and be proficient swimmers. Dry Deck Volunteers must be at least 18 years old.
Required
Do you hold any other relevant certifications? *
This is not required for volunteers, but if so, please list below
Your answer
Swim Team Affiliation
Your answer
Previous Swim Lesson Experience *
This is not required for volunteers, but if so, please list below
Your answer
Would you like to be contacted about future BH-JSL Volunteering Opportunities? *
This is not required for volunteers, but if so, please list below
Signature and Consent for Background Check
The field below constitutes your signature giving consent for BH-JSL to run a Background check and determine your eligibility to become a BH-JSL Volunteer. Background Checks are required for ALL VOLUNTEERS. BH-JSL will cover the cost of this check.
Signature *
Please sign your name below, giving BH-JSL content to run a background check.
Your answer
Thank You!
Please visit www.bhjsl.org for additional information.
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