Employment Application Form

Name: *

First Name Last Name

Phone Number: *

Area Code Phone Number

E-mail Address: *

Address: *

Street Address

Street Address Line 2

City State / 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 monors?* *

Please Explain: *

How did you hear about this job opening? *

Walk-In Employee Newspaper Ad Facebook Twitter Craigslist Indeed

What kind of job are you looking for? *

Cashier Sales Warehouse Spa Service Pool Service

Are you looking for ... *

Full Time Part Time Either Seasonal (summer)

What times are you available during the week? *

Mornings Afternoons Evenings Not available

What times are you available during the weekends? *

Mornings Afternoons Evenings Not available

How much are you looking to work? *

Under 20 hours a week Overtime when available Around 40 hours a week

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

City State

Zip Code

Company Phone Number

Area Code Phone Number

Start Date

Date

End Date

Date

Job Duties

Reason for Leaving

Company 2

Company Address

Street Address

Street Address Line 2

City State

Zip Code

Company Phone Number

Area Code Phone Number

Start Date

Date

End Date

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

Upload Resume (required): *