Employment Application
Please complete the entire application below: We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status, or any other legally protected basis. (All your personal information is confidential.)
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Full Name
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First Name
Last Name
Address
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Street Address
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Afghanistan
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Day Time Phone
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Area Code
Phone Number
Date of Birth
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Year
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E-mail
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example@example.com
Are you over 18?
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Yes
No
How did you find out about us?
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Facebook
Indeed
Friend
Google
Newspaper
Flyer
Are you looking for Part Time or Full Time work?
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Fulltime-more than 30 hours
Part-time - less than 30 hours
Driving is a requirement for the job. Do you have a current valid drivers license?
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Yes
No
Has your driver's license ever been suspended?
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Yes
No
If yes, Explain
Do you have your own transportation? -
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Yes
No
Are you able to work a full time job Monday through Friday from 7am to 6pm?
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Yes
No
Are you authorized to work in the US? Note: You have to have a legal work permit to be able to apply for a work position
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Yes
No
Have you ever been convicted of a crime?
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Yes
No
Do you currently clean pools on your own? (Do not include pools that you clean or have cleaned for a cleaning company)
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None
Only 1-2 homes a month
3 or more homes a month
How many jobs have you had in the past three years
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1
2
3
Other
What is the longest you stayed in a job?
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6 month or less
1-2 years
3-6 years
More than 7 years
What's your English proficiency level?
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My english communication level is 100%
My english communication level is 70%
My english communication level is 50%
My english communication level is 10-30%
No english communication leves is 0%
Do you live close to Sugar Land?
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Yes
No
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Do you know how to navigate a smartphone
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Yes
No
Would you have difficulty standing, bending, or kneeling in connection with performing necessary pool cleaning duties?
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Yes
No
Can you work in extreme temperature conditions?
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Yes
No
Have you ever worked in the sun or in the rain all day?
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Yes
No
Are you able to lift 50 pounds or more?
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Yes
No
Are you allergic to pool chemicals?
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Yes
No
Can you work w/dogs & cats? This job job exposes you to dogs and cats on a daily basis
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Yes
No
Are you currently employed?
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Yes
No
Have you ever been terminated or forced to resign from your employment with any employer?
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Yes
No
Are you currently on layoff status and subject to recall?
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Yes
No
If we decide to hire you, when can you start to work?
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Immediately
Next week
Next two weeks
Next month
Do you have Pool Cleaning experience? (Experience is not required)
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Yes
No
Why do you think you are a good fit for this company?
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How long do you see yourself working here? (keep in mind any future plans you have such as moving out of town, school, or until you find your job preference)
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WORK HISTORY / EXPERIENCE
Please list your last current work history/experience
Employer's Name (Most current)
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Employer's Address (Most current)
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Position Held
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Supervisor's Name
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Phone
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Area Code
Phone Number
Reason for Departure
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Duties
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Start Date
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Month
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Day
Year
Date
End Date
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Month
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Day
Year
Date
Amount
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Hour
Day
Weekly
Bi weekly
Amount $
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May we contact this employer? (Please check one)
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Yes
No
If NO, reason why not
Second Work History
Employer's Name
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Employer's Address
*
Position Held
*
Supervisor's Name
*
Phone
*
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Area Code
Phone Number
Reason for Departure
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Duties
*
Start Date
*
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Month
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Day
Year
Date
End Date
*
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Month
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Day
Year
Date
May we contact this employer? (Please check one)
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Yes
No
If NO, reason why not
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What was your salary?
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Hour
Day
Weekly
Bi weekly
Amount $
*
Personal References
1. Name, Phone Number, Relationship, Years Known -
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2. Name, Phone Number, Relationship, Years Known
*
False information will cause removal from our registry.
In submitting this application, I certify that all of the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I understand that if this application results in a subsequent personal interview for employment that I will be asked to furnish certain references concerning my work history. I understand that prior to employment that you will conduct any investigation necessary concerning any part of my background related to the position I am seeking, including, but not limited to, the obtaining of a police report and driving record. I understand and agree that, if employed, I will be responsible for familiarizing myself with all rules and regulations of the company as they presently exist or are later modified and that I will abide by its rules and regulations which I understand are subject to change. I also understand that no representative of the company has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment. I further understand that, if hired, my employment is for no definite period of time and may be terminated by either party at any time.
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THANK FOR YOUR TIME!
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