Employment Opportunities With Blue Fin Pool & Spa of Andover, MN

APPLICANT INFORMATION

Date

First Name

Middle Initial

Last Name

Street Address

Apartment / Unit #

City

State

Zip

Phone

Email

Date Available

Social Security #

Desired Salary

Position Applied For

Are you a citizen of the United States?

YES

NO

If no, are you authorized to work in the U.S.?

YES

NO

Have you ever worked for this company?

YES

NO

If so, when?

Have you ever been convicted of felony?

YES

NO

If yes, explain

EDUCATION

High School

Address

From

To

Did you graduate?

YES

NO

Degree

College

Address

From

To

Did you graduate?

YES

NO

Degree

Other

Address

From

To

Did you graduate?

YES

NO

Degree

REFERENCES

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

PREVIOUS EMPLOYMENT

Company

Phone

Address

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

From

To

Reason for leaving

May we contact your previous supervisor for a reference?

YES

NO

Company

Phone

Address

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

From

To

Reason for leaving

May we contact your previous supervisor for a reference?

YES

NO

Company

Phone

Address

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

From

To

Reason for leaving

May we contact your previous supervisor for a reference?

YES

NO

MILITARY

Branch

From

To

Rank of Discharge

Type of Discharge

If other then honorable, explain

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Clear

Date

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