Employment Application Form

Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you older than 16?*
Are you older than 18?*
Will you need to get a work permit?*
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?*
Have you ever served in the military including National Guard or Reserves?*
What Branch?
Discharge Date?
Have you ever been convicted of a felony?**
*A felony conviction will not automatically prevent you from consideration for the job so please explain, including additional sheets if necessary, so that an informed decision on your application may be made.
Are you prohibited from contact with minors?**
Please Explain:*
How did you hear about this job opening?*

Walk-InEmployeeNewspaper AdFacebookTwitterCraigslistIndeedOther
What kind of job are you looking for?*

CashierSalesWarehouseSpa ServicePool ServiceOther
Are you looking for ...*

Full TimePart TimeEitherSeasonal (summer)
What times are you available during the week?*

MorningsAfternoonsEveningsNot available
What times are you available during the weekends?*

MorningsAfternoonsEveningsNot available
How much are you looking to work?*

Under 20 hours a weekOvertime when availableAround 40 hours a weekOther
What are your salary requirements?*
Schooling
Name of High School
Years Attended
Did You Graduate?
Subject Course
Name of College
Years Attended
Did You Graduate?
Subject Course
Job History
Company 1
Company Address

Street Address

Street Address Line 2

CityState

Zip Code
Company Phone Number

Area CodePhone Number
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Job Duties
Reason for Leaving
Company 2
Company Address

Street Address

Street Address Line 2

CityState

Zip Code
Company Phone Number

Area CodePhone Number
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Job Duties
Reason for Leaving
Job Skills & Training
Describe any Spa maintenance/service experience:*
Describe any Pool maintenance/service experience: *
Describe any Big Ticket Sales experience:*
Describe any Warehouse experience:*
Describe any retail and customer service experience you have:*
Describe any lab testing and chemistry experience you have:*
Describe any cashier experience you have:*
Describe any special skills:
Anything else we should know about you?
Do you have any preliminary questions for us?
References
Reference Name 1*
Reference Phone Number*
Reference Relation*
Reference Name 2
Reference Phone Number
Reference Relation
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