General Application

douglasaquatics.com » General Application

Contact Information

Please complete all fields before submitting application
First Name
Last Name
Phone Number
(Including Area Code)
Cell Phone Number
(Including Area Code)
Birthday
(mm/dd/yyyy)
Home Address
City
State
Zip Code
E-mail
Position Applied For
Rate of pay expected
How did you learn of this opening
Do you want to work Full time or Part Time
Have you worked for us before
Date you can begin work
Do you have reliable transportation to work
Do you have a valid VA Driver’s License
Do you have any physical handicaps or limitations that would prevent you from performing specific kinds of work
Have you ever received compensation for injuries
Have you been convicted of a felony within the last 7 years? Conviction will not necessarily disqualify an applicant from employment.

Personal References

Reference 1.
Name
Occupation
Phone Number
Reference 2.
Name
Occupation
Phone Number

Emergency Contact

Name
Relation
Phone Number

Education

High School
Name of School
Did you graduate?
Current grade level
College
Name of School
Did you graduate?
Credit hours completed

Job Experience

Previous Job Experiences
Job1
Company Name
Supervisor
Phone Number
(Including Area Code)
Employment Date
(Mo/Yr) To (Mo/Yr)
Job2
Company Name
Supervisor
Phone Number
(Including Area Code)
Employment Date
(Mo/Yr) To (Mo/Yr)
Job3
Company Name
Supervisor
Phone Number
(Including Area Code)
Employment Date
(Mo/Yr) To (Mo/Yr)

Note: The information you provide us is used only for Douglas Aquatics Employment Application Processing. Your name and address information will not be given to any third party without your consent. Your e-mail address is used only for sending you information and updates about the status of your application.

General Application

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