Lifeguard Training Application Form

FIELDS

Applicant Name *
Gender	Male Female
Personal Photo *	File
Date of Birth *
Nationality
Personal ID *
Issue Date *
Expiry Date *
Applicant Mobile *	For example, 971-50-111-1111
Applicant Email *
First Language *
English Proficiency *
Does the applicant require any special arrangement?	Yes No
Special Arrangement Details
Emergency Name
Emergency Mobile *	For example, 971-50-111-1111
Trainee Type *
Corporeate Name
Course Name
Certification Level *
I, undersigned, declares that I am fully compliant with the following;	Yes No * I am a strong swimmer enough to meet the requirements of the certificate I am applying for. * I am mentally and physically fit to take the training assessment. * I don't suffer from any medical conditions that might prevent me from doing my job as a lifeguard. * If any changes happened to my physical or mental condition, I will immediately inform Cobra Sports Services.
I understand the below;	Yes No * I can ask for help with translation if needed. * I should conduct and dress in a professional manner. * I might get disqualified for inappropriate behaviour. * In case of emergency, I must follow the procedures stated by the trainer, examiner, assessor. * If I am not happy with the training outcome, I have the right to file an appeal or a complaint. * I will follow the Lifeguard Code of Ethics and Substance Abuse Policy of Dubai Municipality (attached to the application). * I will not release confidential material or participate in fraudulent practices during the training and the assessment.
I have reviewed and fully understand the certification requirements and agree to comply	Yes No