Full Name:____________________________________________________________________________
Address:____________________________City:__________________State:________Zip:__________
Phone:(____)______________Cell:(____)______________E-Mail:_____________________________
Date Available to Start:__________________
Salary Requirements:_________________________________________________________________
Have you ever pleaded guilty, no contest or been convicted of a crime? [ ]Yes [ ]No
if yes, give dates and details:___________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Summarize Your Special Skills or Qualifications:_________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Previous Employment (begin with most recent position)
Dates of employment: From__/__/__ To__/__/__ Position(s) Held:__________________________
Company Name:______________________________Address:______________________________
City:_______________State:______Zip:___________Phone:(____)__________________________
Supervisor:______________________________Title:______________________________________
Reason for Leaving:_________________________________________________________________
_________________________________________________________________________________
May we contact this employer for a reference? [ ]Yes [ ]No
AMCO POOL SERVICE, INC Employment Application Page 2 of 2
Dates of employment: From__/__/__ To__/__/__ Position(s) Held:__________________________
Company Name:______________________________Address:______________________________
City:_______________State:______Zip:___________Phone:(____)__________________________
Supervisor:______________________________Title:______________________________________
Reason for Leaving:_________________________________________________________________
_________________________________________________________________________________
May we contact this employer for a reference? [ ]Yes [ ]No
Dates of employment: From__/__/__ To__/__/__ Position(s) Held:__________________________
Company Name:______________________________Address:______________________________
City:_______________State:______Zip:___________Phone:(____)__________________________
Supervisor:______________________________Title:______________________________________
Reason for Leaving:_________________________________________________________________
_________________________________________________________________________________
May we contact this employer for a reference? [ ]Yes [ ]No
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals for all liability when responding to inquiries in connection with my application
In the event I am employed, I understand that false or misleading information in my application or interview(s) may result in discharge.
Signature of Applicant:______________________________________________Date:____/____/____
