Employee Name(Required) First Last Preferred NameHome PhoneEmergency Contact Name(Required)* If applicant is under 18 years of age First Last Emergency Contact Phone(Required)* If applicant is under 18 years of ageWhat is your pool preference?(please list name of pool if known)Zip Code(Required)Hours Desired(Required)30-40 hrs. Full time20-30 hrs. Part time<20 hrs. Floater guard/subAre you authorized to work in the U.S.?(Required) Yes No Proof of identity and eligibility work in the U.S. will be required if you are hired.AvailabilityDate available to work MM slash DD slash YYYY If you are not a student, what is your current occupation?If you are a student, name of school currently attending?When is your last day of school for the current school year? MM slash DD slash YYYY If your last day of school is after Memorial Day, are you available: Weekday afternoons (4:00-8:00 p.m.) before school year ends Weekends before school year ends Are you a graduating senior in high school? Yes No Date of senior prom: MM slash DD slash YYYY Date of graduation: MM slash DD slash YYYY Date of senior week: MM slash DD slash YYYY Name of college you will be attending in the fall:What are your time off requests for this summer?Family VacationWhat are your time off requests for this summer?Camps/Activities/ClassesWhat are your time off requests for this summer?Summer Sports LeaguesWhat are your time off requests for this summer?OtherPlease list any fall sport or activity in which you participate:Are you available to work through Labor Day? Yes No If not, what is the last day you are available to work? MM slash DD slash YYYY For your regular pool assignment, how far are you willing to drive? Up to: 10 miles 20 miles 30 miles How do you plan to travel to work? Personal vehicle Family or friends Walk or bike Public transportation Aquatics TrainingDo you have, or have you ever had a Pool Operator certification? Yes No Where did you take your Pool Operator training?What is the expiration date of your Pool Operator license or certification? MM slash DD slash YYYY Current/Previous EmploymentIf you have no previous or current employment history, skip this section.EmployerPositionStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY WagesSupervisor/Contact NumberReason for LeavingEmployerPositionStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY WagesSupervisor/Contact NumberReason for LeavingDo I have permission to contact your previous/current employer? Yes No Have you ever been dismissed from employment for any reason other than lack of work Yes No Δ
