It is the policy of Waterworks Aquatics to provide equal opportunity for all qualified persons and not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, veteran status, disability, or any other protected status.

* I am interested in working:

* Position Applying for:

*Last Name	*First name	Middle Name

Are you 17 years of age or older?

*Street Address

* Email Address

*City	*State	*Zip

* Are you legally authorized to work in the United States?
 Yes     No   

If hired, you will be required to submit proof of employment eligiblity.

* Telephone Number
Home

Work

Mobile

* Have you ever been convicted of a crime (misdemeanor and/or felony)?
Yes (please explain below) No

* How did you hear about us?

* How many hours would you like to work per week?

* When will you be available to start working?

School	Name of School and Location	Major/Minor	# of Years  Completed	Graduate?Y or N
High School
College
Graduate

Company Name	Telephone number:
Address	Length of employment:   From:                             To:
Name of Supervisor     Title:	Starting salary(optional):     Ending salary:
Job Title:	Description of responsiblities:
Reason for Leaving::	May we contact your supervisor?   Yes     No

Company Name	Telephone number:
Address	Length of employment:   From:                             To:
Name of Supervisor     Title:	Starting salary(optional):     Ending salary:
Job Title:	Description of responsiblities:
Reason for Leaving::	May we contact your supervisor?   Yes     No

Company Name	Telephone number:
Address	Length of employment:   From:                             To:
Name of Supervisor     Title:	Starting salary(optional):     Ending salary:
Job Title:	Description of responsiblities:
Reason for Leaving::	May we contact your supervisor?   Yes     No

Name:	Telephone number:	Relationship to applicant:
Name:	Telephone number:	Relationship to applicant:
Name:	Telephone number:	Relationship to applicant:

Name:

Address

Telephone number:

1. * Describe your personality in 3 words:

2. * What experience do you have working with children?

3. * Provide a brief description of your athletic and/or swimming experience and any awards you have received:

4. * Please circle the days as well as list the hours you are available to work below each day Monday Tuesday Wednesday Thursday Friday Saturday Sunday

5 . * Will you be available to work during the summer?             Yes     No

6. * Do you have any vacations planned during the summer?    Yes     No

7. * Please list your upcoming vacations/days you need to take off in the next 4 months that would impact the above availability:

Authorization: I certify the information contained in this application is true and complete to the best of my knowledge. Any misrepresentation or omissions of any fact in my application can be justification for refusal of employment or if employed grounds for termination. I authorize the company to investigate all statements contained in this application and release all parties from any liablility for any damage that may result from furnishing same to you. I understand that my employment may be terminated with or without cause or notice, at any time, at the option of either Waterworks Aquatics or myself.

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