First Name:

Middle Name:

Last Name:

Address:

City:

State:Select...VAMDALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTWAWVWIWY

Zip:

Contact phone number:

Date of Birth:

Email:

I am applying for the following positions(check all that apply, at least one):Lifeguard - Ensure safety of the facility and patrons, enforce pool rules and regulations.Pool Manager (single-guard pool) - Responsible for enforcing rules and safety regulations at a one guard swimming pool. Must be a pool operator.Pool Manager (multi-guard pool) - Responsible for enforcing rules and safety regulations at a multi-guard swimming pool and while managing a staff of lifeguards. Must be a pool operator and have prior lifeguard experience.Area Supervisor - Responsible for managing, scheduling and staffing six to ten swimming pools. Must have prior experience.Preseason/Postseason Help - (reliable vehicle is a must)- Help with preparing pools for the season. Certificates are not required. Must have previous experience working at the pool (vacuum, backwash, adjust the water chemicals).Other ( office position, ...)

Have you been employed with us before?:YESNO

Will you have transportation to and from work?:YESNO

Will you be available to work:?:Part TimeFull Time

Desired Pool 1:

Desired Pool 2:

Desired Pool 3:

Desired Salary per hour: $

Any previous similar experience? How many seasons?:

Are you currently certified?:YESNO

Training Company (Red Cross, ALA, URSUS, etc):

Level (Community, Prof. Rescuer, etc.):

Pool Operator in Country:

Other water safety, instructor Detail:

When can you start working?:

Have you ever been arrested or convicted of a felony?:YESNO

How did you hear about United Pool Management?:

Pool name:

Pool Type—Please choose an option—CondoHOASwim ClubOther

Pool Location:—Please choose an option—IndoorOutdoor

Address:

City:

State:Select...VAMDALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTWAWVWIWY

Zip Code:

Pool Owner/Manager Name:

Zip Code:

Email:

Phone:

Fax:

Mgmt. Co. Name:

Address:

City:

State:Select...VAMDALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTWAWVWIWY

Zip Code:

Property Manager:

Email:

Phone:

Fax:

Pool name:

Pool Type—Please choose an option—CondominiumHOASwim ClubOtherApartment Complex

Pool Location:—Please choose an option—IndoorOutdoor

Address:

City:

State:Select...VAMDALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTWAWVWIWY

Zip Code:

Pool Owner/Manager Name:

Zip Code:

Email:

Phone:

Fax:

Opening Date:

Closing Date:

How many guards on duty at all times?

Are additional guards needed during peak hours?—Please choose an option—YesNo

If yes, what days?

If yes, what hours on those days?

Total man-hours of guard coverage per week:

Do you have a swim team?—Please choose an option—YesNo

Do you have a snack bar?—Please choose an option—YesNo

Mgmt. Co. Name:

Address:

City:

State:Select...VAMDALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTWAWVWIWY

Zip Code:

Property Manager:

Email:

Phone:

Fax: