Job Application

The Pool Place

Sales Clerk

* APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS *

Demographics
First Name		Last Name Middle Initial
Address
City		Province/State Postal Code
Res. Phone		Cell Phone Ext.
Email
Age		if under 18 Referral Source
Position		Desired Salary per
Available		Full Time Part Time How soon can you start?
		How many hours can you work weekly?
		Days / Hours Available to work:
		No Preference Monday Tuesday Wednesday Thursday Friday Saturday Sunday
		Have you ever been convicted of a crime? YesNo
		If yes, explain number of conviction(s), nature of offence(s), leading to conviction(s), how recently such offense(s) was/were commited, sentence(s) imposed, and type(s) of rehabiliation:



School		Degree
Major		Years Graduate Year Graduated



School		Degree
Major		Years Graduate Year Graduated


Military
Branch	Specialty
Entered	Discharged

Previous Employment
Employer		Title
From		To May We Contact Your Employer?
Supervisor		Reason for Leaving
Job Duties


Employer		Title
From		To May We Contact Your Employer?
Supervisor		Reason for Leaving
Job Duties


Employer		Title
From		To May We Contact Your Employer?
Supervisor		Reason for Leaving
Job Duties


Employer		Title
From		To May We Contact Your Employer?
Supervisor		Reason for Leaving
Job Duties

Other

Did you complete this application yourself? Yes No

If not, who completed the application for you?

By submitting this application, you agree that all of the above information is true.

Thank You!