Where did you hear about us?	HotJobs.com Saw Truck Google (search for pool companies) Google (search for jobs) Yahoo Newspaper Other MSN
General Information:
Name
Social Security Number
Current Home Address
City
Zip
Home Phone
Mobile Phone
Email Address
Date Available to Start
Are you a USA citizen?	No Yes
If NO, are you legally allowed to work in the USA?	Yes No
Type of employment desired:	Pool Technician Sr. Pool Technician Administrative
Have you ever pleaded guilty, no contest or been convicted of a crime?	No Yes
If YES, please give dates and details
	Answering yes to these questions does not constitute an automatic rejection of employment.  Dates of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Driver's License Number
State of Drivers License
Date of Birth (required for background check)
Summarize your special skills or qualifications
Previous Employment (most recent)
Start Date:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11
End Date:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11
Company Name
Company Address
Supervisor Name
Supervisor Phone
Responsibilities
Starting Title & Salary
Ending Title & Salary
Reason(s) for leaving
Previous Employment (second most recent)
Start Date:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11
End Date:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11
Company Name
Company Address
Supervisor Name
Supervisor Phone
Responsibilities
Starting Title & Salary
Ending Title & Salary
Reason(s) for leaving
By pressing the SUBMIT button below,  I certify that the information provided is true and complete to the best of my knowledge.  I authorize Lancaster Pool Service to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision.  I hereby release all employers, schools or individuals from all liabilities when responding to inquiries related with my application.   In the event I am employed by Lancaster Pool Service, I understand that false or misleading information given in this application and/or interview(s) may result in termination.

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