Aquatics Application Form
* - required field.
Personal Information
Given Name(s)
Postal Code
 Daytime Telephone
E-mail Address
Alternate Telephone
Are you legally entitled to work in Canada?*
Have you attained the age of 16?*
Position Applying For:*
Do you possess the following certifications? (Must be issued after December 31, 2018).*
Red Cross Water Safety Instructor (Completed or currently enrolled)?*
Date certification issued or expected completion:
Lifesaving Society Instructor (Completed or currently enrolled)? *
Date certification issued or expected completion:
Bronze Cross?*
Date certification issued:
Date certification issued:
Standard First Aid?*
Date certification issued:
Date certification issued:
(Must be issued after December 31, 2018)
You must fill in at least one of the education fields.  *  
Level Areas of Study Length of Programme/   Course Degree/Diploma Obtained Or Highest Grade Completed (Ontario Equivalent)  
College Or Technical  

Please list any work related skills, certifications or training that relate to the position being applied for. (Must be less than 300 characters)  
Cover Letter (PDF File Only)
Resume (PDF File Only)
We thank all applicants for their interest; however, only those selected for an interview will be contacted. In accordance with the Municipal Freedom of Information and Protection of Privacy Act, personal information is collected under the authority of the Municipal Act and will be used for the purpose of candidate selection. Questions about this collection should be directed to the Human Resources Division, City of Pickering, One The Esplanade, Pickering, ON L1V 6K7 905.420.4627.
I hereby declare that the foregoing information is true and complete to my knowledge. I understand that a false statement may disqualify me from employment, or cause my dismissal.   *


Alternate formats available upon request at 905.683.7575.