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Personal Information
Last Name:
First Name:
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EMail Address:
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Are you 18 or older?
Are you prevented from lawfully becoming employed in this country because of Visa or immigration status?
Address
Street:
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Employment Desired
Position:
Date you can start:
Salary desired:
Ae you employed now?
If yes, may we inquire of your present employer?
Ever applied to us before?	When?
Referred by:
Education
	Name & location	# years attended		Did you graduated?		Subjects studied
Grammar school:
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Business or trade school:
General
Special study or research:
Special skills:
Activities: (civic, athletic, etc)	(Exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members.)
Former Employers (list last three employers, starting with last first)
Date (month and year)	Employer name & address			Salary		Position
from:/ to:/
	reason for leaving:
from: / to:/
	reason for leaving:
from:/ to: /
	reason for leaving:
from: / to: /
	Reason for leaving:
Which of these jobs did you like the best?
What did you like most about this job?
Anything you would tell us on why you would make a good part of the Central Jersey Pools Patio & More family?
References (Give the names of three people not related to you whom you have known for at least 1 year)
name	address		business		years acquainted




In case of emergency, (name, address, phone)
"I certify that all information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the company. I understand that no company representative, other than it's president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing." Before submitting your job application, please verify that all information you have entered is correct. We appreciate your interest in Central Jersey Pools Patio and More!