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NEW FAMILIES/Swimmer
3 1/2 YEARS OLD - 11 yrs.
Baby: 22-42 MONTHS OLD
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Employment
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Application for Employment
Pre-employment questionnaire ∙ Equal opportunity employer
Personal Information
*
Indicates required field
Full Name
*
First
Last
Email
*
Current Address
*
Permanent Address (if different from Current)
*
Primary Phone #
*
Referred By
*
Are you legally authorized to work in the U.S.?
*
Yes
No
Have you ever been a convicted felon?
*
Yes
No
Education
High School
*
Years Completed
*
College/University/Trade School
*
Years Completed
*
Subject(s) Studied
*
Swim/Teaching Experience
*
Summer/High School Swim Team
Year Round Swim Tem
Teaching Lessons < 1 year
Teaching Lessons > 1 year
None
Special Skills/ Certifications
*
Are you currently employed?
*
Yes
No
If so, may we contact your current employer?
*
Yes
No
Employment History
Employer Name and Address
*
by Salary
*
Business
*
Years Known
*
Employer Name and Address
*
Salary
*
Business
*
Years Known
*
Employer Name and Address
*
**Salary
*
Business
*
Years Known
*
References
Please list three names of persons, not related to you, whom you have known for at least one year.
Name
*
First
Last
Email
*
Business
*
Years Known
*
Name
*
First
Last
Email
*
Business
*
Years Known
*
Name
*
First
Last
[object Object]
Email
*
Business
*
Years Known
*
Comments
*
Desired Salary
*
Date you can start
*
Authorization
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal state laws.”
I agree to the Authorization listed above.
*
Yes
No
Name
*
Submit
HOME
NEW FAMILIES/Swimmer
3 1/2 YEARS OLD - 11 yrs.
Baby: 22-42 MONTHS OLD
Pay Now!
PROGRAMS
Employment
CONTACT
# 10 STICKERS
New Page