Bi-State Pool Management Online Application

Personal Information

First Name
 		Last Name
 		Date of Birth (if under 21) 
  
Position Applying for Social Security #        
  
Home Address City                      State
 		Zip            
  
College Address (if you live there) City                      State
Zip             
  
Home Phone # Alternative Phone #
 
E-Mail Address How often do you check this address?  
 
How did you hear about Bi-State Pool Management
 
Do you have a valid drivers license? Yes No
Do you have a commercial drivers license (CDL)? Yes No
 
Education
    
High School:  Did you graduate?                            Yes No Not Yet If not yet, year in school Grade point average
 
College:  Did you graduate?                            Yes No Not Yet If not yet, year in school Grade point average
 
 
References
 Please give us the names of two persons you now well enough to recommend you for the position.
 
Name Phone How do you know this person?
 
Name Phone How do you know this person?
 
Experience
Present or most recent employer Phone Supervisors Name
 
Previous employer Phone Supervisors Name
  
May we contact your employer(s)?  Yes No                 If no, why?
 
What is the earliest date that you will be available to work?
 
Do you have any activities that may require special scheduling? Yes No
If yes what are they?
What is a major intersection near your home?
How far would you be willing to drive one way?
 How will you get to work?
 Do you have any physical limitations that may inhibit you from performing any work for which you are being considered.
If so, what can be done to accommodate them?
 
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 listed above give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that my result from furnishing them to you.

I understand and agree that, if hired, my employment is seasonal and is for no definite period, and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice"

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