Application of Employment for Kay Pool & Spa If you are human, leave this field blank. Please fill out the below form to apply for a position at Kay Pool and Spa. Today's Date * Personal Information Name * First * Last Email * Present Address * Address, Country, City, State, Zip Permanent Address * Address, Country, City, State, Zip Phone * Secondary Phone Referred by * Employment Desired Position * Date you can start * Salary Desired * Are you employed now? * Yes No If so, may we enquire of your present employer? Yes No Ever applied to this company before? * Yes No Where did you apply before? When did you apply before? Educational History High School * Years Attended * Did you graduate? * Yes No Subects Studied College Years Attended Did you graduate? Yes No Subjects Studied Trade, business, or corespondence school Years Attended Did you graduate? Yes No Subjects Studied General Information Subject of Special Study/Research Work Special Training Special Skills U.S. Military or Naval Service Rank Former Employers List below last four employers, starting with last one first. Date of Employment - Start Month and Year and End Month and Year * Name and Address of Employer * Salary * Position * Reason for leaving * Date of Employment - Start Month and Year and End Month and Year Name and Address of Employer Salary Position Reason for leaving Date of Employment - Start Month and Year and End Month and Year Name and Address of Employer Salary Position Reason for leaving References Give below the names of three persons not related to you, who you have known at least one year. Name * First * Last Address * Business * Years Known * Name * First * Last Address * Business * Years Known * Name * First * Last Address * Business * Years Known * Authorization "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the reference and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal and otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. I understand that a consumer credit report or criminal record check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent these reports. I also understand that poor credit history or conviction will not automatically result in disqualification from employment." In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Date of Electronic Signature * Electronic Signature - Enter your full name * reCAPTCHA Submit
