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2012 application for employment

personal information
First Name
Middle Initial
Last Name
Permanent Mailing Address
City
State
Zip
School/Other Mailing Address
City
State
Zip
Home Phone Number
Best Way to Reach you?
Date of Birth (mm/dd/yyyy)
Email

I am applying for the following position(s)

(check all that apply)
Area Supervisor - Responsible for managing, scheduling and staffing six to nine swimming pools.
Pool Manager (multi-guard pool) - Responsible for enforcing rules and safety regulations at a multi-guard swimming pool and while managing a staff of lifeguards. Must be a pool operator and have prior lifeguard experience.
Pool Manager (single-guard pool) - Responsible for enforcing rules and safety regulations at a one guard swimming pool. Must be a pool operator.
Life Guard - Assist pool manager with safety regulations and other duties. No pool operator license required.

position information

If you are under 18 years of age, can you provide required proof of your eligibility to work?
 
Have you been employed with us before?
If Yes give date & facility:
 
Will you have transportation to and from work?
 
Will you be available to work:
Part Time Full Time
 
Desired Swimming Pool
1.
2.

Desired Salary per hour: $
Start Date Available:

Will you be able to work Memorial Day Weekend?
 
Will you be able to work full time beginning Memorial Day Weekend?
If not, will you be available after school and on weekends until the end of school?
 
Will you be able to work through Labor Day?
If not, what will be your last day?
 
Do you have any vacation planned?
If yes, give dates?
Vacation from:
Vacation to:
 
Have you ever been arrested or convicted of a felony?
If yes, please explain
 
How did you hear about Premier?
 
How many calendar summers have you guarded previously? (Please list number and years)

training information

Lifeguard Training
Training Company (Red Cross, ALA, URSUS, etc):
Expires:
C.P.R
Level (Community, Prof. Rescuer, etc.):
Expires:
Pool Operator
County:
Expires:
Other
Detail:
Expires:

experience information

Position:
Company:
Supervisor:
Phone:
Date from: Date to:
Salary:
 
Position:
Company:
Supervisor:
Phone:
Date from: Date to:
Salary:

references

1. Name:
Phone:
Company:
Title:
Years Known:
 
2. Name:
Phone:
Company:
Title:
Years Known:
 

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understanding that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein. The references listed above give you any and all information concerning my previous employment and any pertinent information that I may have, personal or otherwise and release all parties from any liability for any damage that may result from furnishing the same to you.

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

Under Maryland and Virginia State law, an employer may not require or demand any applicant for employment or prospective employment or any employee to submit to or take a polygraph, lie detector or similar test or examination as a condition of employment or continued employment. Any employer who violates this provision is guilty of a misdemeanor and subject to a fine not to exceed $100.00"

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