Job Application

Personal Information

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Email*

Phone*

Position Applied For*

Which location are you interesting in applying to:

Select All
Elizabethtown/Hershey
Lancaster
Mechanicsburg

Is there any information we would need about your name or use of another name for us to be able to check your work record?*

Do you have any relatives who are presently (or have formerly been) employed by Crystal Pools?*

How were you referred to Crystal Pools?*

Educational History

Elem/Jr. High

School Name/Location	Years Completed	Degree/Diploma

High School

School Name/Location	Years Completed	Degree/Diploma

College

School Name/Location	Years Completed	Degree/Diploma

Tech. Training

School Name/Location	Years Completed	Degree/Diploma

Other

School Name/Location	Years Completed	Degree/Diploma

Please include any special training or skills that you believe add value to your application.

Employment Record

Start with current or most recent employer

Company Name*

Position Held*

Address*

Street Address City State ZIP Code

Dates of Employment*

Date start to date end

Manager/Supervisor*

Phone*

Wage/Salary*

Reason for Leaving*

Add Another Previous Employer

Yes

Company Name

Position Held

Address

Street Address City State ZIP Code

Dates of Employment

Date start to date end

Manager/Supervisor

Phone

Wage/Salary

Reason for Leaving

Add Another Previous Employer

Yes

Company Name

Position Held

Address

Street Address City State ZIP Code

Dates of Employment

Date start to date end

Manager/Supervisor

Phone

Wage/Salary

Reason for Leaving

NOTE: We will contact all of the employers listed on this application unless you specifically exclude them below. Please list any employers you do not want us to contact and your reason for the exclusion:

Employer's Name

Reason for Exclusion

Employer's Name

Reason for Exclusion

References

Name #1*

Address*

Street Address City State ZIP Code

Occupation/Relationship*

Years Known*

Phone*

Email*

Add Another Reference

Yes

Name #2

Address

Street Address City State ZIP Code

Occupation/Relationship

Years Known

Phone

Email

Add Another Reference

Yes

Name #3

Address

Street Address City State ZIP Code

Occupation/Relationship

Years Known

Phone

Email

Work Availability

If your application receives favorable consideration, when will you be available to begin work?*

Do you have any objection to working overtime?*

Yes
No

Can you work overtime without prior notice?*

Yes
No

Can you work on Saturdays?*

Yes
No

Salary / Hourly Rate Requirements

If your application receives favorable consideration, what salary/hourly rate would you require?

$ _____ per _____

Other comments

Attach a Resume

Accepted file types: pdf, Max. file size: 300 MB.

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company 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, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment."

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

Pre-Employment Questionnaire/Equal Opportunity Employer

Personal Information

Educational History

Employment Record

References

Work Availability

Salary / Hourly Rate Requirements

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