Splash Pool Management
Employment Application Form


Fields in red are required fields. You will not be able to submit the form if these fields are not filled in.

Employee Information Section
All fields are required.

Applicant Name
Address
City
State
County
Zip
Name of Subdivision
Home Phone
Cell Phone
Email
High School/College attended
Highest Level of High School/College attended


Emergency Information Section
All fields are required.

1. Emergency Contact Name
Relationship
Phone
Parent/Guardian Email
 
2. Emergency Contact Name
Relationship
Phone
Parent/Guardian Email


General Information Section
All fields are required.

Are you able to lift 50 pounds? YesNo
Are you able to be in the sun and heat for long peroids of time? YesNo
Do you have a current American Red Cross Lifeguard certified or equivalent? YesNo
Do you have previous Lifeguarding experience? YesNo
Do you have a reliable source of transportation to get you to work on a timely basis? YesNo
Are you able to drive 15-20 miles to work? YesNo
Do you have a Driver's License? YesNo
Are you willing to submit to a criminal history background check? YesNo
Are you able to work flexible hours such as evenings, weekends, and holidays? YesNo
What type of position are you seeking? Full TimePart Time


Personal Reference Section
All fields are required.

1. Name
Relationship
Phone
Email
 
2. Name
Relationship
Phone
Email


Work Reference Section


1. Name
Job Title
Phone
Email
 
2. Name
Job Title
Phone
Email


Who referred you to Splash Pool Management?**
Referral's Full Name
**Name of referral must be provided at time of Application for referral to receive referral bonus!



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