USA Pools Employment Application
*-Mandatory Fileds
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Firstname
MI
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Lastname
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Street Address
Apt/Suite#
County
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City
*
State
-State-
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Phone
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Email
*
Re-Enter Email
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Last 4 of your SSN
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Date of Birth
-Month-
Jan
Feb
Mar
Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
-Date-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-Year-
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
Age
Sex
-Sex-
Male
Female
School Details
School Currently Attending
Address
School Phone
GPA
Grade/Year
Major
Please mention the dates available for work
Start Date
End Date
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Position Applying for
Manager/Head Lifeguard
Lifeguard
Internship
Aquatics Director
Service Tech
Swim Instructor
Coach
Other
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Asking Payrate
Reliable Transportation
-Yes/No-
Yes
No
What outside Commitments do you have?
What are your best qualities?
What interested you the most in this position?
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Are you returning USA Pools Employee?
-Yes/No-
Yes
No
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Years of Lifeguard Experience
Work Experience
Where have you lifeguarded in the past?
Community Pool Name (If you or your family, a member)
Please list three (3) friends and their phone numbers that may be interested in working with USA Pools
Friend Name
Friend Phone
Friend Name
Friend Phone
Friend Name
Friend Phone
Please list two (2) previous employers
Most Recent Employer
Hourly Rate
Manager
Phone
Start Date
End Date
Next Recent Employer
Hourly Rate
Manager
Phone
Start Date
End Date
Please list two (2) personal references
Name
Phone
Name
Phone
Emergency Contact Details
*
Name
*
Phone
*
How did you hear about our company?
Notes
Please check if you would wish to schedule an interview appointment with us
Anti-Spam Characters
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