SEVEN WELLS POOL MANAGEMENT

Please select the Job(s) desired:
Pool MaintenanceLifeguardPool AttendantSupervisor

Date Available to Work:

Type of employment desired: Full TimePart Time

PERSONAL INFORMATION

Name:

Email:

Street Address:

Phone:

Date of Birth:

Please request time off for vacation, school, other jobs, etc. here:

Name of person who referred you to Seven Wells Employment
(cannot be added or updated at a later time):

Have you read the job description for which you are applying?
YesNo

Have you been convicted of a crime in the past 10 years that has not been annulled, expunged, or sealed by a court? (If Yes, please describe in full in the text area below):
YesNo

Do you have any criminal charges pending against you? (If yes, please explain in the text area below):
YesNo

EDUCATION

Highest level of education completed:
—Please choose an option—Some High SchoolHigh School Diploma/GEDSome CollegeTechnical/Occupational CertificateAssociate DegreeBachelor's DegreeMaster's DegreeDoctorateOther (please explain below)

[text OtherEducation placeholder "If you answered "Other", please explain here"]

High School Information

Did you graduate?
YesNo
What was your GPA?

College/University Information

Did you graduate?
YesNo
What degree/certificate did you receive?

What was your major?

What was your GPA?

Other Accomplishments or Experience

List any other accomplishments or experience:

REFRENCES

Please complete the information below for three business/work references who are NOT related to you. If not applicable, list three school/personal references who are NOT related to you. Providing this information means you give Seven Wells Pool Management permission to contact those individuals listed.

Reference 1:



Number of years you've known this refrence:

Reference 2:



Number of years you've known this refrence:

Reference 3:



Number of years you've known this refrence:

Reference 4 (not required):



Number of years you've known this refrence:

BACKGROUND CHECK INFORMATION

Please provide previous address(es) for the past 7 years (address, city, county, state). If not applicable, type "none".

Previous Employers

Employer 1:

Employer 2:

Employer 3:

I certify that all the information given by me on this application or in supplemental form is true and correct to the best of my knowledge and belief. I further understand that false and misleading statements on this application or supplemental forms are sufficient cause for my dismissal if I am hired. I understand that I am required to provide, on my first day of employment, documents providing prrof of my identity and employment eligibility status. I understand that this verification is a condition of employment and that failure to comply will void my offer of employment. I acknowledge that SEVEN WELLS POOL MANAGEMENT reserves the right to require tests for alcohol or drugs during the course of my employment, consistent with applicable law. Drug test results with a positive outcome for any illegal substance will result in disciplinary action, up to and including termination of employment. I also acknowledge the right for SEVEN WELLS POOL MANAGEMENT to conduct a background check.