Official SealPersonnel Commission


#19-5383-003
Supplemental Questionnaire

Last Name
First Name
1

Please check the box next to each certificate that you currently have. Be sure to attach all required certificates as ONE file in the "Other" tab of your application.

A valid Lifeguard Training Certificate issued by the American Red Cross or YMCA.
A valid First Aid Certificate or its equivalent issued by the American Red Cross or American Heart Association.
A valid certificate in Cardiopulmonary Resuscitation issued by the American Red Cross or American Heart Association.