Re-Hire Application

NAME:
ADDRESS:
PHONE:
CELL PHONE:  
EMAIL:
POOL ASSIGNED TO LAST YEAR:

DATE OF BIRTH:
SOCIAL SECURITY NUMBER:
NEW HIRE/RE-HIRE:

NEED RECERT LG?
NEED RECERT CPR?
WHEN CAN YOU START?:

 
WHEN IS YOUR LAST DAY?:

 
HOURS DESIRED PER WEEK:

 
DAYS OFF I NEED:

 
SCHEDULE RESTRICTIONS:

 

We are implementing a full summer schedule this season and need to know as far in advance as possible ALL OF YOUR DAY OFF REQUESTS. This will allow us to develop full season schedules that reflect our needs and your availability. You will be held to your last day so please think carefully. Departures prior to last day indications will result in final paychecks being held by our office.

I have read and understand the above and all schedule indications are accurate and truthful to the best of my knowledge. I acknowledge that failure to work until my committed last day will result in my final paycheck being withheld. Further, I will work within the assigned schedule when created and any additional day off requests will by my responsibility to fill.

I have read and understand the conditions as stated above.




 



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