Application Form - Keith Zars Pools

Position*

Name*

Street Address*

City*

State*

Zip Code*

Phone*

Email*

Are you 21 yrs. old?*

Driver's Lic. # & State*

Desired Pay Rate*

Referred by (if any)*

Are you a U.S. citizen?*

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

Have you ever worked for this company?*

If yes, when?

Have you ever been convicted of a felony?*

If yes, please explain:

Please list your Education.

What is the name of the High School you attended?*

What is the address of the High School you attended?*

Did you earn a High School diploma?*

Name of college (if attended)*

What is the address of the college you attended?*

Did you graduate?*

Degree:

The following questions relate to employment history.

Please enter your most recent employer's Company Name*

Job Title*

Address

Phone*

Supervisor*

Starting Salary*

Ending Salary*

Responsibilities*

Employed from what date to what date? Include month and year of employment.*

Reason for leaving:*

Next most recent employer's Company Name*

Job Title*

Address

Phone*

Supervisor*

Starting Salary*

Ending Salary*

Responsibilities*

Employed from what date to what date? Include month and year of employment.*

Reason for leaving:*

Next most recent employer's Company Name*

Job Title*

Address

Phone*

Supervisor*

Starting Salary*

Ending Salary*

Responsibilities*

Employed from what date to what date? Include month and year of employment.*

Reason for leaving:*

Did you serve in the military?*

If you served in the military, what branch?

Rank at Discharge

Type of Discharge

I certify that the answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in any application document may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application document may be cause for my dismissal at any time without prior notice. I consent to and authorize Keith Zars Pools, Ltd. to contact my former employers, references, and any and all other persons and organizations for information bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal references to give Keith Zars Pools, Ltd. (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference. I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR MY EMPLOYER(S) WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT NO ORAL PROMISE, EMPLOYER(S) POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE (INCLUDING THE BASIC EMPLOYMENT POLICIES, PERSONNEL HANDBOOK OR ANY PERSONNEL MANUALS) CONSTITUTES AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE EMPLOYER(S). I ALSO UNDERSTAND THAT THIS ASPECT OF MY EMPLOYMENT MAY NOT CHANGE ABSENT AN INDIVIDUAL WRITTEN AGREEMENT SIGNED BY BOTH MYSELF AND KZP, LTD. I understand that applicants for certain positions may be required to qualify for employment based on additional employment criteria. For example, I may be required to take job-related tests; submit to a background investigation; take a pre-employment drug test. If I am offered employment or start work before any required test is completed, my employment is contingent upon a satisfactory result on all required tests. I authorize Keith Zars Pools, Ltd. to release the results of background checks (if any) and my pre-employment drug/alcohol test (if any), any information on this application and any relevant information about me to each other and release Keith Zars Pools, Ltd. from any and all claims related to the lawful release of this information. I further authorize the release of any background check results of any drug/alcohol test to any state or federal authority requesting such information and in response to a valid subpoena or other legal document. This document is the property of KZP, Ltd. and not be removed from premises. I acknowledge that this application will remain active for 30 days from this date. If I have not heard from Keith Zars Pools, Ltd. at the conclusion of this 30-day period; it is my responsibility to complete a new application if I still wish to be considered for employment.*

By using this form, you agree with the disclaimer below, as well as the storage and handling of your data by this website.*

I certify that the answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in any application document may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application document may be cause for my dismissal at any time without prior notice. I consent to and authorize Keith Zars Pools, Ltd. to contact my former employers, references, and any and all other persons and organizations for information bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal references to give Keith Zars Pools, Ltd. (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference.

I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR MY EMPLOYER(S) WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT NO ORAL PROMISE, EMPLOYER(S) POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE (INCLUDING THE BASIC EMPLOYMENT POLICIES, PERSONNEL HANDBOOK OR ANY PERSONNEL MANUALS) CONSTITUTES AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE EMPLOYER(S). I ALSO UNDERSTAND THAT THIS ASPECT OF MY EMPLOYMENT MAY NOT CHANGE ABSENT AN INDIVIDUAL WRITTEN AGREEMENT SIGNED BY BOTH MYSELF AND KZP, LTD.

I understand that applicants for certain positions may be required to qualify for employment based on additional employment criteria. For example, I may be required to take job-related tests; submit to a background investigation; take a pre-employment drug test. If I am offered employment or start work before any required test is completed, my employment is contingent upon a satisfactory result on all required tests. I authorize Keith Zars Pools, Ltd. to release the results of background checks (if any) and my pre-employment drug/alcohol test (if any), any information on this application and any relevant information about me to each other and release Keith Zars Pools, Ltd. from any and all claims related to the lawful release of this information. I further authorize the release of any background check results of any drug/alcohol test to any state or federal authority requesting such information and in response to a valid subpoena or other legal document. This document is the property of KZP, Ltd. and not be removed from premises.

I acknowledge that this application will remain active for 30 days from this date. If I have not heard from Keith Zars Pools, Ltd. at the conclusion of this 30-day period; it is my responsibility to complete a new application if I still wish to be considered for employment.

Date*

Application

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Please list your Education.

The following questions relate to employment history.

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