Employment Application

Fields with an "*" are required.

Personal Information

Last Name *

First Name *

Address 1 *

Address 2

City *

State *

Zip *

E-Mail *

Phone *

Referred By/How Did You Hear About Us?

Employment Desired

Position Desired? *

Lifeguard

Pool Manager

Assistant Manager

Open

Date You Can Start (mm/dd) *

Is your lifeguard certification active currently? *

Yes

No

What DATE does your LIFEGUARD certification expire? (Note: The lifeguard certification must be renewed every two years.) *

What DATE does your CPR certification expire (Note: the CPR certification must be renewed annually.)

Who provided your most recent lifeguard certification? (What organization -- not the person's name who conducted the training)

I need:

…to get certified as a lifeguard (I am a brand-new lifeguard)

…to get CPR certified (this is required every year)

…to get recertified as a lifeguard (this is required every other year)

Have you ever applied for a Job at Robin Hill Pool before? *

Yes

No

Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, Green Card, etc.) within 3 days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

Why are you interested in working at Robin Hill Pool?

Additional Information

Parent Name:

Parent Phone Number:

Our pool is open 7 days a week during the summer season. Are there any days you can't work?

No

Yes

Please Specify

How many hours are you interested in working each week? *

Is there any information we would need about your name or use of another name for us to be able to check your work record? *

No

Yes

Please Specify

Have you ever been employed by Robin Hill Pool before? *

No

Yes

If yes, give dates -- mm/yy to mm/yy -- or which summer(s)

Please name any friends or individuals you know who are presently employed by Robin Hill Pool:

Have you ever been convicted of a crime? (Answering yes does not automatically exclude you from consideration for employment) *

No

Yes

If yes, please describe fully the criminal conviction(s), listing the nature of the offense, how recently such offense(s) was/were committed, sentence(s) imposed and your rehabilitation since conviction.

Have you ever been released, discharged or asked to resign from any prior employment? *

No

Yes

If yes, please give details.

Have you ever been the subject of disciplinary charges and/or have you ever been subject to disciplinary action by prior or current employer? *

No

Yes

If yes, please give details.

Educational History

High School

Name & Location of School

Highest Grade Completed or Degree Earned

Subjects Studied

College

Name & Location of School

Highest Grade Completed or Degree Earned

Subjects Studied

Employment History

List your previous employers (up to four), starting with most recent/current one first.

EMPLOYER #1:

Date Started (mm/yy)

Date Completed (mm/yy)

Name of Employer

Address of Employer

Salary

Position

Reason for Leaving

EMPLOYER #2:

Date Started (mm/yy)

Date Completed (mm/yy)

Name of Employer

Address of Employer

Salary

Position

Reason for Leaving

EMPLOYER #3:

Date Started (mm/yy)

Date Completed (mm/yy)

Name of Employer

Address of Employer

Salary

Position

Reason for Leaving

EMPLOYER #4

Date Started (mm/yy)

Date Completed (mm/yy)

Name of Employer

Address of Employer

Salary

Position

Reason for Leaving

References

List at least two personal or professional references (include either address, e-mail and/or phone number)

Reference #1 *

Reference #2 *

Reference #3 *

Are you currently employed? *

Yes

No

May we contact your current employer?

Yes

No

If no, please explain why you don't want the employer contacted

I hereby certify that the information provided in this Application for Employment is true, correct and complete. Any misstatement or omission of fact on this application may result in the rejection of my application or in my termination, if employed by Robin Hill Recreation Association. I understand that acceptance of an offer of employment does not create a contractual obligation upon Robin Hill Recreation Association to continue to employ me in the future. I authorize Robin Hill Recreation Association to contact any educational institutions, former employers, or other individuals and entities having information concerning me to make inquiries and obtain information, including personnel files, relevant to my background, performance and abilities as an employee or relating to my application for employment. I hereby release all such entities and individuals from any and all claims, including but not limited to claims of defamation, associated with the release of disclosure of such information to Robin Hill Recreation Association. I agree that a copy of this authorization and release may be accepted with the same authority as the original.

Click this box to certify that you have read and accept the above statement: *

Yes, I accept the above statement