Sage Pools and Spas

Name (required)

Address (required)

City (required)

State (required)

Zip (required)

Phone

SSN

Email (required)

Date of Birth (if over 18)

Are you able to provide proof of age if hired? yesno

HISTORY

*Have you ever been convicted of a felony? yesno

If yes, what was the felony?

What is your education history? High School StudentHigh School GraduateCollege StudentCollege Graduate

Will you work during spring break, Christmas break, Thanksgiving weekend, summer school break, and/other vacation periods? yesno

How many hours are you available and willing to work?
 Monday Tuesday Wednesday Thursday Friday Saturday Sunday

*If hired, when can you begin work?

Previous Employment

*Company

*Address

Telephone

Position

Supervisor

Dates Worked

Reason For Leaving

Company

Address

Telephone

Position

Supervisor

Dates Worked

Reason For Leaving

Do we have permission to contact your current employer? yesno

Certifications: Please list work experience:

Personal References (please no family members)

Name

Phone

Name

Phone

Authorization
I certify that to the best of my knowledge that this information and the statements made by me in this application are correct and complete without omission of any kind whatsoever. I understand that giving incomplete or false information, whether in this application or otherwise, may be cause for discharge at any time during employment. You are hereby authorized to investigate all the statements made in this application. I further understand that I do not have an employment contract and that my employment and compensation can be terminated with or without notice or cause at any time by the company or me.

*I certify the above statement