Employment Application
CBC Pool Management

 
Today's Date:
Name:
Home phone:       Cell phone:
Best Time To Call:
E-mail:
Address:
City / State / Zip: / /
Age:
Were you referred by another CBC employee?  
If yes, please state who :
Are you authorized to work in the United States?  
Do you speak English fluently?  
 
Date able to start:      Salary Desired:
Are you planning to work full time or part time?  
 
How many hours do you expect to work per week?  
Minimum:      Maximum:


Military Experience
If no military experience, please skip to the next section.

Branch of service:

Specialty:

Description of work/experience:

Date of enlistment:

Date of discharge :

Please Check All That Apply:
                                          Expiration Date
Lifeguard Certification     (MM  DD  YYYY)
                                          Expiration Date
CPR Certification            (MM  DD  YYYY)
                                          Expiration Date
First Aid Certification      (MM  DD  YYYY)
                                          Expiration Date
Pool Operator License     (MM  DD  YYYY)

High school attended:      Did you graduate?  

College attended:      Number of years completed: Major / Minor :      Did you graduate?  

EMPLOYMENT EXPERIENCE (enter most recent or most relevent)

1. Name of company:      Dates of employment:
  Name of supervisor:      Phone #:
  Job title:       Reason for leaving:

Have you ever been convicted of a felony?  

Please Read the Following Carefully, Sign and Submit.

I certify that the facts contained in this true and complete the best of my knowledge and understand that, if employed, falsified statements on this questionnaire will be grounds for dismissal.

I authorize investigation of all statements contained herein and the employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I release the company from all liability for any damage that may result from utilization of such information. I also understand and agree to the guard contract and understand that adherence to this contract and my submitted schedule and availability are necessary preconditions for my continued employment, bonuses, reimbursements and raises.

I understand that my performance and schedule bonus will be significantly impacted by any missed shifts, and/or significant lateness, including missed shifts due to undocumented illness, or “family emergencies”. I understand that this is “at will” employment and that such behaviors may result in my immediate termination, depending on the circumstance, as well as my history with the company.

I understand that CBC pays all of its employees biweekly by direct deposit only and that I will need to provide a voided check, or savings account slip with my account and routing number at least one week before my first paycheck is due to receive it at that time, and that CBC uses a digital time tracking system to monitor hours and that failure to punch in or out may delay the payment for that day until the next payroll period.

I also understand that the discount rate for Lifeguarding, First Aid, And CPR certification and/or re-certification arranged by CBC is conditional upon this same precondition and my failure to properly execute the lifeguard contract, choice to leave, or dismissal will result in an amount of up to $350.00 for full certification due for receipt of the certification cards, which otherwise will be kept on file and sent to me after the season is over, and in the event of my dismissal, voluntarily or otherwise, these charges as well as those for uniforms not returned clean and in new condition will be deducted from any outstanding paycheck, and referred to a third party collection entity if not fully remitted within 30 days.

Name: Date:
Legal Guardian (if under 18): Date:

 

 

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