Retail Sales & Service Associate

Fill out this form to apply for employment. Position Applying For * Date of Application * Name * First Last Address Address Line 1 Address Line 2 City State How long have you lived at current address? * How long at your previous address? * Phone * Alternate Phone Social Security Number * Yes No Are you applying for full time or part time? Full Time Part Time Date Available to Start * What experience, skills, or qualifications do you have? * What factory equipment can you operate? * List any handicaps or health problems you may have that might affect work performance or should be taken into account in determining job placement? * Can you work Monday-Friday 10-6 & Saturdays, May - July? If not, when are you available to work? * Yes No Do you have a valid Driver's License? * Yes No Do you have reliable transportation to work? * Yes No Yes No Have you had a serious injury or illness in the past five years? * Yes No Have you ever received compensation for injuries? * Yes No Have you ever been convicted of a felony or do you have any felonies? * Yes No US Military Record Branch of Service Duties performed during service. & Monday-Friday * Education High School Name & Location * High School Course of Study * High School Years Attended * High School Diploma/Degree Received? Yes No College/University Name & Location College/University Course of Study College/University Years Attended College/University Degree Received? Yes No Graduate Shcool Name & Location Graduate School Course of Study Graduate School Years Attended Graduate School Degree Received? Yes No Vocational School Name & Location Vocational School Course of Study Vocational School Years Attended Vocational School Degree Received? Yes No Employment History Begin with current or most recent employer. Do not exclude any employment. Include any applicable temporary employment. Enter any additional employment information in the box at the end of this section. Previous salaries or wages will not be used to determine compensation. Company Name * Start Date * End Date * Salary * Company Address * Company Phone * Name & Title of Supervisor * Supervisor's Phone Position Title * What did you enjoy the least? * What did you enjoy the most? * Reason for leaving * Company Name Start Date End Date Company Address Company Phone Name & Title of Supervisor Supervisor's Phone Position Title Duties Performed What did you enjoy the least? What did you enjoy the most? Reason for leaving Please enter any additional employment details here. Previous Employer References Name * Address * Phone * Relationship * Years Known * Name * Address * Phone * Relationship * Years Known * Emergency Contact Information Name * Phone * I understand that any omission or misrepresentation of material facts in this application may result in refusal of or separation from employment. I hereby authorize Blue Water Pool and Garden or Blue Water Construction subsidiaries to make any investigation of my background as deemed necessary. I have no objection to making application for security clearance, if necessary, signing an employee agreement on confidential information and inventions, or taking a medical examination. I understand also, that any consumption of any employee agreements is contingent upon successful completion of the background and investigation, and medical examination. I also understand that neither this employment application not acceptance of offer of employment by me constitutes in any respect an oral or written contract of employment. Signature Date I'm not a robot reCAPTCHA We offer local Inground Pool openings and closings , Inground pool equipment repair and replacement as well as hot tub repair . #J-18808-Ljbffr