LVV Viperfish Swim Team Junior/Senior Coach Application

Loudoun Valley Viperfish Swim Team is looking for qualified individuals to work as junior and senior 
coaches. The main duties of the job are to provide coaching to the younger swimmers 
of the team. Instruction will be provided to you by the head coach.

An out-going, enthusiastic, and positive personality is required! Please fill out the 
application form. On the second page, indicate which days of the week and what 
practice times you are available to coach. Go Viperfish!

If you are interested, please print this application, complete and return to your Head Coach.

Eligibility: Junior coach candidates must be at least 15 years old and lifeguard certified. 
Senior coach candidates should be a senior in high school or older. Lifeguard ceritified.

Name: __________________________________ Age: ______________

Address: ____________________________________________________

Mobile: ___________________________________

E-mail: ___________________________________

How many hours per week are you interested in working? _____________

Swimming Experience: 

______________________________________________________________________

______________________________________________________________________ 

______________________________________________________________________

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Coaching Experience: 

______________________________________________________________________

______________________________________________________________________ 

______________________________________________________________________ 

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Certifications:
First Aid ____ Expiration date: _______

CPR ____ Expiration date: ________ 

Lifeguarding _____ Expiration date: ________ 

Pool Operator ____ Expiration date: ________

Practice Schedules – Please indicate which days you are available to work.

Early Summer Schedule (While School in Session)

Prior to the end of School we will have only evening practice - Monday to Friday

Regular Practices (School Not in Session)

I am not available to coach on the following dates or times (due to vacations, sports, 
other work commitments, etc.) 

______________________________________________________________________ 

______________________________________________________________________ 

______________________________________________________________________ 

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___________________________________________Date: _____________ 
Applicant Signature

___________________________________________Date: ______________ 
Parent or Guardian’s Signature

Return your signed and dated application by April 30, 2021 to Head Coach Jasmine @ [email protected]

Thank you for your interest to mentor our swimmers!