Personal Information
Full Name *
 Name Called By *
Address *
City *
 State *
 Zip Code *
Home Phone *
 Cell Phone *
School/Work Phone
 E-mail Address *

Position Information
Position(s) Applied For *
Pool Manager    Pool Attendant   
Lifeguard    Assistant Pool Manager   
General Pool Technician    Certified Pool Operator   
Hours Requesting Per Week *
Date Available To Start *
 Date you return to school or last summer day available to work *
Age Bracket you fit into *
Age 14 or 15    16 or 17   
18 - 20    21 or Older   

Certifications
Valid Drivers License *
Yes   
No   
Lifeguard Training Certification Type *
None    Red Cross   
YMCA    Other   
Lifeguard Training Expiration
CPR Training Type *
None    Red Cross   
American Heart    Other   
CPR Training Level
Professional    Adult   
Child    Infant   
CPR Training Expiration
First Aid Training Type *
None    Red Cross    Other   
CPO Training Type *
None    National CPO    WSI CPO   
National CPO Training Expiration
 WSI Training Expiration
Other Additional Certifications

Education
Current Highest Grade *

High School
Name, City, State *
Dates Attended *

College
Name, City, State
Dates Attended
Major and Degree

Vocational and Other Education
Name, City, State
Dates Attended

General Information
*
Describe your interest in working for Southeast Pools and what assets you will bring to the company
Sports, Hobbies, etc.
Awards and Achievements
Volunteer Activities

Work Experience

Enter your most recent employment starting with Employer 1

Employer 1
Company Name
Company Address
Company Phone Number
Your Manager's Name
Your Position
Your Final Compensation
Please specifiy type (i.e. hourly, weekly, monthly and plus tips)
Dates Employed
Responsibilities

Employer 2
Company Name
Company Address
Company Phone Number
Your Manager's Name
Your Position
Your Final Compensation
Please specifiy type (i.e. hourly, weekly, monthly and plus tips)
Dates Employed
Responsibilities

Employer 3
Company Name
Company Address
Company Phone Number
Your Manager's Name
Your Position
Your Final Compensation
Please specifiy type (i.e. hourly, weekly, monthly and plus tips)
Dates Employed
Responsibilities

References

Reference 1

Non Relative and must be Over 18 Years Old
Name *
Phone *
Email
How they know you *

Reference 2

Non Relative and must be Over 18 Years Old
Name *
Phone *
Email
How they know you *

Reference 3

Non Relative and must be Over 18 Years Old
Name *
Phone *
Email
How they know you *


Comments/Questions

By submitting your application to Southeast Pools, you certify that the above information is true and complete to the best of your knowledge and you authorize Southeast Pools to investigate all statements contained in this application. You also understand that misrepresentation or omission of facts allows Southeast Pools to withdraw any offer of employment or terminate your employment at any time.

All fields that apply to you must be completed. The more information you provide, the better your chances of being hired. At a minimum, all areas marked with an asterisk must be completed.

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