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Personal Information |
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Full Name: |
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Name Called By: |
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Street Address: |
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City: |
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State: |
Zip:
- |
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Home Phone: |
xxx-xxx-xxxx example:
919-555-1212 |
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Cell Phone: |
xxx-xxx-xxxx example: 919-555-1212 |
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School/Work Phone: |
xxx-xxx-xxxx example: 919-555-1212 |
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Email: |
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Position Information |
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Position(s) Applied For: |
Pool Manager or Office Manager/Admin
Pool Attendant
Lifeguard
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Assistant
Pool Manager
General Pool Technician
Certified Pool Operator |
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Preferred Assigned Pool: |
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Hours Requesting Per Week: |
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Date Available To Start: |
mm/dd/yyyy example: 05/30/2006 |
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Date you return to school--
or last summer day available to work: |
mm/dd/yyyy example: 05/30/2006 |
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Age Bracket you fit into: |
Age
14 or 15
16 or 17
18
- 20
21 or
Older |
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Certifications |
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Valid Drivers License: |
Yes
No |
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Lifeguard Training Certification Type: |
None
Red Cross
YMCA
Other
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Lifeguard Training Expiration: |
mm/dd/yyyy example: 05/30/2006 |
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CPR Training Type: |
None
Red Cross
American
Heart
Other
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CPR Training Level: |
Professional
Adult
Child
Infant |
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CPR Training Expiration: |
mm/dd/yyyy example: 05/30/2006 |
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First Aid Training Type: |
None
Red
Cross Other
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CPO Training Type: |
None
National
CPO
WSI
CPO |
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National CPO Training Expiration: |
mm/dd/yyyy example: 05/30/2006 |
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WSI Training Expiration: |
mm/dd/yyyy example: 05/30/2006 |
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Other Additional Certifications: |
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Education |
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Current Highest Grade: |
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High School |
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Name, City, State: |
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Dates Attended: |
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mm/dd/yyyy-mm/dd/yyyy example: 05/30/2006-05/30/2006 or
05/30/2006-Present |
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College |
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Name, City, State: |
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Dates Attended: |
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mm/dd/yyyy-mm/dd/yyyy example: 05/30/2006-05/30/2006 or
05/30/2006-Present |
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Major & Degree: |
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Vocational & Other Education: |
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Name, City, State: |
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Dates Attended: |
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mm/dd/yyyy-mm/dd/yyyy example: 05/30/2006-05/30/2006 or
05/30/2006-Present |
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General Information |
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Describe your interest in working for Pool
Specialists and what assets you will bring to the company: |
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Sports, Hobbies, etc.: |
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Awards & Achievements: |
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Volunteer Activities: |
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Work Experience |
Enter your most recent employment starting with Employer 1 |
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Total Number of years Lifeguarding: |
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Total Number of years Lifeguading: |
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Total Number of years Lifeguarding: |
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Employer 1 |
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Company Name: |
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Company Address: |
street, city, state |
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Company Phone Number: |
xxx-xxx-xxxx example: 919-555-1212 |
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Your Manager's Name: |
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Your Position: |
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Your Final Compensation: |
Hourly Weekly Monthly
Plus
Tips |
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Dates Employed: |
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mm/dd/yyyy-mm/dd/yyyy example: 05/30/2006-05/30/2006 or
05/30/2006-Present |
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Responsibilities: |
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Employer
2 |
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Company Name: |
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Company Address: |
street, city, state |
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Company Phone Number: |
xxx-xxx-xxxx example: 919-555-1212 |
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Your Manager's Name: |
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Your Position: |
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Your Final Compensation: |
Hourly
Weekly
Monthly
Plus
Tips |
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Dates Employed: |
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mm/dd/yyyy-mm/dd/yyyy example: 05/30/2006-05/30/2006 or
05/30/2006-Present |
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Responsibilities: |
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Employer 3 |
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Company Name: |
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Company Address: |
street, city, state |
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Company Phone Number: |
xxx-xxx-xxxx example: 919-555-1212 |
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Your Manager's Name: |
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Your Position: |
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Your Final Compensation: |
Hourly
Weekly
Monthly
Plus
Tips |
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Dates Employed: |
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mm/dd/yyyy-mm/dd/yyyy example: 05/30/2006-05/30/2006 or
05/30/2006-Present |
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Responsibilities: |
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References |
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Reference 1 |
Non Relative and must be Over 18 Years Old |
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Name: |
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| Phone: |
xxx-xxx-xxxx example:
919-555-1212 |
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Email: |
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How they know you: |
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Reference
2 |
Non Relative and must be Over 18 Years Old |
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Name: |
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| Phone: |
xxx-xxx-xxxx example:
919-555-1212 |
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Email: |
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How they know you: |
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Reference
3 |
Non Relative and must be Over 18 Years Old |
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Name: |
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| Phone: |
xxx-xxx-xxxx example:
919-555-1212 |
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Email: |
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How they know you: |
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