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Preferred Pool Management
407 Winthrop Rd.
Teaneck, NJ 07666
(201) 837-1961

Lifeguard Application for Employment

Name:

Address:


City:
State: Zip Code:

Telephone Number:

Social Security Number:


Have you ever filed an application with us before?
Yes No
If yes, when

Are you currently working? Yes No

On what date will you be able to start?

Up until what date will you be able to work?

Do you have use of a car? Yes No


Education

H.S.  #Yrs

College  #Yrs

Course of Study/Diploma in College


References

Give the name, address and telephone number of three references who are not related to you and not your previous employer:

Reference#1:

Reference#2:

Reference#3:


Employment Experience

Start with your current or last job:

Employer:
Dates worked: From
 To:

Address:

City:
State: Zip Code:

Telephone:

Salary:

Job Title:

Work Performed:

Supervisor:

Reason for Leaving:



Employer #2:
Dates worked: From
 To:

Address:

City:
State: Zip Code:

Telephone:

Salary:

Job Title:

Work Performed:

Supervisor:

Reason for Leaving:

Special skills or qualifications:


Applicants Statement

By submiting the following application, I certify that the answers given herein are true and complete. I authorize the investigation of all statements contatined in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract for employment.

In the event of employment, I understand that false or misleading information given in the application or interview(s) may result in discharge. I understand that I am to respond to abide by all rules and regulations of this company.

To receive any bonuses agreed upon by both parties, I must work until my stated "last day of working" in this application.

 



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