AUSTSWIM Assessor Form

* indicates a required field
Please note: your application must be endorsed by your workplace, or if self-employed a referee must be provided.
First Name: *
Last Name: *
Street Address: *
Suburb *
Postcode: *
Location: *
Austswim Number:
Email: *

Phone: *

Your phone number will be made available to AUSTSWIM candidates

Years of Exprience: *
Please Note: A minimum of 2 years is required. If you have not yet reached 2 years of teaching experience, your application will be considered based on your hours worked.
Hours Worked: *
Specify the average hours a week employeed as a swimming and water safety teacher (past 2 years).
Current Employer: *
Current Position: *
My application is endorsed by:
Name: *
Position: *
Email: *

Phone: *
Please indicate two other pools that you are able to assess
candidates at
Pool 1: *
Pool 2: *
Please briefly outline why you want to be an AUSTSWIM Assessor: *
(max 200 words)

By clicking OK, I declare that the information provided here is true and correct and that referees may be contacted to verify my application.



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