Poolsafe Assessor Application Form
Personal Details
Full Name
*
Title
First Name
Last Name
Email
*
example@example.com
Work Phone Number
*
Personal Phone Number
*
Your Organisation
*
Job Title
*
Main Responsibilities (within your role)
*
Provide Previous Employment Details (ONLY if current role is less than two years)
Do you have a current drivers licence?
*
Yes
No
If you have a current drivers licence, upload photos of the front and back of your licence here
Browse Files
Cancel
of
Qualifications and/or Associations (Please list most recent first)
*
Upload CV & Cover Letter Here
*
Browse Files
Cancel
of
Upload Referee Letter(s) Here
*
Browse Files
Cancel
of
Please indicate if you are willing for us to contact your referees
*
Yes
No
Referee #1 Full Name
*
First Name
Last Name
Referee #1 Email
*
example@example.com
Referee #1 Work Phone Number
*
Referee #1 Position
*
Referee #2 Full Name
*
First Name
Last Name
Referee #2 Email
*
example@example.com
Referee #2 Work Phone Number
*
Referee #2 Position
*
Why do you think you should be a Poolsafe Assessor?
*
What benefits would there be to you, your organisation and to us if you were a Poolsafe Assessor?
*
Detail past industry experiences and successful relationships (outside of your organisation) within the Aquatics Industry.
*
I can provide evidence as required to support the information provided in this application (sign below).
*
Save
Submit
Should be Empty: