Jazzie Pools On-Line Application
3/3/2009 5:52:55 PM

Personal Info

Applicants Full Name:*

 

Applicants Birthdate:*

 

Applicants SSN:*

 

Home Street Address:*

 

Home City:*

 

Home State/Province:*

 

Home Country:*

 

Home Zip Code:

 

Email Address:

 

Home Telephone #:*

 

Cellphone #:

 

Work Telephone #:

 

High School:

 

High School Address:

 

High School GPA:

 

High School Grade Level:

 

College:

 

College Address:

 

College GPA:

 

College Years Attended/Attending:

 

Relevant Employment History

Employer

Pool

Position

Dates (mm/dd/yyyy)
Start - End

Rate(s)

 

Certifications

Certification

Date Certified

Instructor

   

   

   

   

County Pool Operators - Certifications

   

   

   

   

   
 

Position Applying For?

Please indicate the pool(s) and /or area(s) you have an interest in working

Pool(s)   

 

Area(s)  

 


Employment Availability

Your availability weighs heavily in the determination of job placement.

 

Are you available for full-time work from the Saturday preceeding Memorial Day through Labor Day? If "no", specify full-time availability.
START (mm/dd/yy)    END (mm/dd/yy)  

Are you available for part-time work (including weekends) starting Memorial Day weekend? If "no", specify part-time availability.
START (mm/dd/yy)    END (mm/dd/yy)  

Do you have any activities that may conflict with a full-time schedule? If "yes", please indicate.

I understand that Jazzie Pools vacation policy permits up to one week non-paid (5 consecutive work days) vacation from work?

Have you interviewed with Jazzie Pools before? If "yes", by whom/year?
Interviewer   Year

Are you applying for a higher level position than previously held? If "yes", Be prepared to present a letter supporting this promotion.

Have you ever taught organized group swim lessons? If so, what program? (e.g. American Red Cross, York Swim School, etc.)

Are you available to teach swim lessons in the mornings before the pool opens?

Do you have an interest in or have you secured a swim or dive coach position?

Are you able to provide your own transportation? If "no", how will you be getting to work?

I understand that Jazzie Pools will ATTEMPT to place me as close as possible to my requested pool/areas.

If I am hired and become involved in activities, e.g. team sports, band, cheerleading, etc., that may conflict with full-time work, I agree to continue to fulfill my responsibilities as an Jazzie Pools employee.

Do you understand that, if hired by Jazzie Pools and you are 14 or 15 years of age, you must obtain a work permit?

Do you understand that, if hired by Jazzie Pools and you are required to order a Jazzie Pools uniform, and wear it at all times while on duty?

Have you had a Hepatitis B Vaccination?

Have you ever been arrested or convicted of a criminal offense? If "yes", please explain

PLEASE offer any comments related to the questions above.

PLEASE list your Federal and State tax preferences- that is whether you are 0, or 1, or 2, or exempt.

   

I attest that the above information is true and accurate and will be used, in part, as a basis of my employment with Jazzie Pools.

 

429 S. MAPLE AVENUE, Falls Church, Virginia 22046. 
703-532-0242
Fax: 703-532-1381: BUS. 1-800-316- LIFE

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