EMPLOYMENT APPLICATION
THE POOL STORE VALDOSTA
APPLICANT INFORMATION
Full Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date Available
-
Month
-
Day
Year
Date
Social Security Number
Desired Salary
Position Applied For
Please Select
Sales Associate
Pool Technician
Are you a US Citizen?
Yes
No
If you are not a US Citizen, are you authorized to work in the U.S?
Have you ever worked for this company?
If Yes, when did you work for The Pool Store?
Have you ever been convicted of a Felony?
Yes
No
If yes please provide a detailed description of your particular case
EDUCATION
High School Name
High School Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DATE FROM
-
Month
-
Day
Year
DATE STARTED HIGH SCHOOL
DATE TO
-
Month
-
Day
Year
DATE FINISHED HIGH SCHOOL
Did You Graduate from High School?
Yes - I Recieved my High School Diploma
No
College Name
College Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DATE FROM
-
Month
-
Day
Year
DATE STARTED COLLEGE
DATE TO
-
Month
-
Day
Year
DATE FINISHED COLLEGE
Did You Graduate from College?
Yes - I Recieved my College Diploma
No
If Yes, What Degree did You Obtain in College
Other Education
DATE FROM
-
Month
-
Day
Year
DATE STARTED SCHOOLING
DATE TO
-
Month
-
Day
Year
DATE STARTED SCHOOLING
Did You Graduate from this Institution?
Yes - I Recieved my Diploma
No
REFERENCES
Please List Three Professional References
First Reference: Full Name
First Name
Last Name
First Reference: Relationship
First Reference: Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
First Reference: Company
First Reference: Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Second Reference: Full Name
First Name
Last Name
Second Reference: Relationship
Second Reference: Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Second Reference: Company
Second Reference: Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Third Reference: Full Name
First Name
Last Name
Third Reference: Relationship
Third Reference: Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Third Reference: Company
Third Reference: Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PREVIOUS EMPLOYMENT
Company Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor Name
Job Title:
Starting Salary $
Ending Salary $
Responsibilities:
DATE FROM
-
Month
-
Day
Year
Date Started
DATE TO
-
Month
-
Day
Year
Date Finished
Reason For Leaving
May We Contact Your Previous Supervisor For a Reference?
Yes
No
Company Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor Name
Job Title:
Starting Salary $
Ending Salary $
Responsibilities:
DATE FROM
-
Month
-
Day
Year
Date Started
DATE TO
-
Month
-
Day
Year
Date Finished
Reason For Leaving
May We Contact Your Previous Supervisor For a Reference?
Yes
No
Second Employer
Company Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor Name
Job Title:
Starting Salary $
Ending Salary $
Responsibilities:
DATE FROM
-
Month
-
Day
Year
Date Started
DATE TO
-
Month
-
Day
Year
Date Finished
Reason For Leaving
May We Contact Your Previous Supervisor For a Reference?
Yes
No
Third Employer
Company Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor Name
Job Title:
Starting Salary $
Ending Salary $
Responsibilities:
DATE FROM
-
Month
-
Day
Year
Date Started
DATE TO
-
Month
-
Day
Year
Date Finished
Reason For Leaving
May We Contact Your Previous Supervisor For a Reference?
Yes
No
MILITARY SERVICE
Branch
DATE FROM
-
Month
-
Day
Year
STARTING DATE
DATE TO
-
Month
-
Day
Year
DISCHARGE DATE
Rank at Discharge
Type of Discharge
If Other than Honorable, Please Provide a Detailed Explanation
I CERTIFY THAT MY ANSWERS ARE TO THE BEST OF MY KNOWLEDGE IF THIS APPLICATION LEADS TO MY EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION IN MY APPLICATION OR INTERVIEW MAY RESULT IN MY RELEASE.
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