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Pool Attendant
Pool Manager
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PERSONAL INFORMATION
FIRST NAME
*
LAST NAME
*
MIDDLE NAME
DOB
*
PHONE
*
PROVIDER
GENDER
*
EMAIL
*
ADDRESS
*
ADDRESS 2
CITY
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
STATE
*
ZIP
*
EMERGENCY CONTACT
CONTACT NAME
*
PHONE
*
RELATIONSHIP
*
ABOUT YOU
CERTIFICATIONS
*
YEARS EXPERIENCE
WHAT OUTSIDE COMMITMENTS DO YOU HAVE? IF NONE, TYPE NONE.
*
WHAT INTERESTED YOU MOST ABOUT THIS POSITION?
*
WHAT ARE YOUR BEST QUALITIES?
*
JOB HISTORY
WHERE HAVE YOU LIFEGUARDED IN THE PAST? IF YOU HAVE NOT, TYPE NONE.
*
WHAT'S YOUR COMMUNITY POOL? IF NONE, TYPE NONE.
*
PREVIOUS JOBS (INCLUDE COMPANY, JOB TITLE, PHONE, REASON FOR LEAVING, START/END DATES & HOURLY PAY RATE)
*
JOB DETAILS
POSITION
*
ASKING PAY RATE (PER HOUR)
*
DESIRED START DATE
*
DESIRED END DATE
*
Yes
No
RELIABLE TRANSPORTATION
*
HOW DID YOU HEAR ABOUT US?
SOURCE
*
SCHOOL/INDIVIDUAL
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