APPLICATION FOR EMPLOYMENT Application for Employment We are an EOE dedicated to a policy of non-discrimination in employment on any basis, including race, color, age, sex, religion or national origin. It is our policy to comply with all Federal, State and Local laws prohibiting discrimination in employment. Each question should be fully and accurately answered or “NA” (not applicable) indicated. An answer of “see resume” is not acceptable. Step 1 of 4 25% Applicant InformationToday's Date* Date Format: MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Are you 18 years or older?* Yes No Do you know anyone currently employed at Zagers Pool & Spa?* Yes No If yes, who?* Work PreferencesPosition applying for?*Pool & Spa TechnicianPool Maintenance TechnicianSeasonal Retail AssociateWhat type of employment do you want?*Full-timePart-timeTemporaryWork HistoryStarting with your present or last job, list names of all employers. Include military service or periods of unemployment.Employer #1Company Name*Dates Employed (from-to):*Position(s) Held*Description of Duties* Employer #2Company NameDates Employed (from-to):Position(s) HeldDescription of DutiesEmployer #3Company NameDates Employed (from-to):Position(s) HeldDescription of Duties Education, Skills, & QualificationsHigh SchoolName, City & State*Years Completed*Diploma, Degree, or Certificate*College/University/Technical SchoolName, City & StateYears CompletedDiploma, Degree, or CertificateCourse of StudyWhat skills and/or additional training do you have that may be related to the job in which you are applying?What machines or equipment can you operate that may be related to the job in which you are applying?