Missouri Valley Pool Management Employment Application
Positions (Check at least one.)
I am applying for the following position(s):
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Gate Attendant
Lifeguard
Pool Manager
Swim Lesson Instructor
Service Technician
Personal Information
Your Full Name
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Prefer to be called by:
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Home Phone
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Cell Phone
Address
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City
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State
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Zip Code
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Are you at least 15 years old?
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Yes
No
Email Address
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Certifications: Are You Currently Certified?
Lifeguard
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Yes
No
First Aid
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Yes
No
CPR - Professional Rescuer
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Yes
No
Lifeguard Instructor (LGI)
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Yes
No
Water Safety Instructor
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Yes
No
Other Certifications:
Availability
Are you interested in working at a certain facility?
What major intersection are you close to?
Do you have transportation to work?
Yes
No
What date can you start work?
What will be your last day of work?
Work Experience
Most Recent Job
Company Name:
Your Position
Dates Worked
Supervisor's Name
Supervisor's Phone
Job Duties
Second Most Recent Job
Company Name:
Your Position
Dates Worked
Supervisor's Name
Supervisor's Phone
Job Duties
Third Most Recent Job
Company Name:
Your Position
Dates Worked
Supervisor's Name
Supervisor's Phone
Job Duties
References: List people other than family and peers. Use at least one teacher or coach.
Reference #1
Name
Phone Number
Years Known
Profession
Reference #2
Name
Phone Number
Years Known
Profession
Reference #3
Name
Phone Number
Years Known
Profession
Miscellaneous Information
How did you hear about Columbus Pool Management?
Please select...
Friend
Teacher
Ads in Newspaper
Flyer
Other
Other
Emergency Contact
Name
Home Phone
Work Phone
Cell Phone
Agreement
I UNDERSTAND THAT MY EMPLOYMENT WILL BE STRICTLY SUMMER EMPLOYMENT, AND I WILL NOT FILE FOR UNEMPLOYMENT WHEN MY EMPLOYMENT ENDS.
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Yes
No
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