Date:

First name: Last name:

Present Address:

City: State: Zip:

Phone:

Do you know any current employee's of Patio Pools? Yes No

Referred by:

Position applied for:

Desired Salary:

Date available to start:

Have you applied at this company before? Yes No

Education:

Former Employers:

Activities:

Training:

Skills:

Emergency Contact: Phone:

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal, further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.