Lake in the woods

Employment Application

 

Applicant Information

Last Name

 

First

 

M.I.

Date

 

Street Address

 

Apartment/Unit #

 

City

 

State

 

ZIP

 

Phone

 

E-mail Address

 

Date Available

 

 

 

Desired Salary

 

Position Applied for

 

Are you a citizen of the United States?

YES  ___

NO ___ 

If no, are you authorized to work in the U.S.?

YES  ___

NO  ___

Have you ever worked for Lake in the Woods?

YES  ___

NO ___

If so, when?

 

Have you ever been convicted of a felony?

YES  ___

NO  ___

If yes, explain

 

 

Education

High School

 

Address

 

From

 

To

 

Did you graduate?

YES  ___

NO  ___

Degree

 

College

 

Address

 

From

 

To

 

Did you graduate?

YES  ___

NO  ___

Degree

 

Other

 

Address

 

From

 

To

 

Did you graduate?

YES  ___

NO ___

Degree

 

 

References

Please list three personal/professional references.

Full Name

 

Relationship

 

Company

 

Phone

(           )

Address

 

Full Name

 

Relationship

 

Company

 

Phone

(           )

Address

 

Full Name

 

Relationship

 

Company

 

Phone

(           )

Address

 

                         

 

 

Previous Employment

Company

 

Phone

(           )

Address

 

Supervisor

 

Job Title

 

Starting Salary

$

Ending Salary

$

Responsibilities

 

From

 

To

 

Reason for Leaving

 

May we contact your previous supervisor for a reference?

YES  ___

NO ___

 

Company

 

Phone

(         )

Address

 

Supervisor

 

Job Title

 

Starting Salary

$

Ending Salary

$

Responsibilities

 

From

 

To

 

Reason for Leaving

 

May we contact your previous supervisor for a reference?

YES  ___

NO  ___

 

Company

 

Phone

(         )

Address

 

Supervisor

 

Job Title

 

Starting Salary

$

Ending Salary

$

Responsibilities

 

From

 

To

 

Reason for Leaving

 

May we contact your previous supervisor for a reference?

YES  ___

NO  ___

 

 

certifications

Lifeguard Training?

YES  ___     Expires:______________              NO  ___   If no, will obtain by following date: ____________

First Aid/CPR?

YES  ___     Expires: _____________               NO  ___   If no, will obtain by following date: ____________

 

Water Safety Instructor?  *

YES  ___     Expires: _____________               NO  ___   If no, will obtain by following date: ____________

 

*This certification is not required for the lifeguard position

Disclaimer and Signature

I CERITY that the above answers are true and complete to the best of my knowledge.  I understand that this application is not and is not intended to be any kind of contract or agreement.  In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination.  I understand also, that I am required to abide by all rules, regulations and policies of Lake in the Woods Pool and/or Association.

Signature

 

Date