Personal Information

Name*

First Middle Last Preferred First Name

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Email*

Email is used for communicating preseason training requirements and newsletters. Please provide one that is checked frequently.

Best Phone Number

Shirt Size

Shorts Size

Education

High School

Graduate High School?

College

Graduate College?

Area of Study

Organization

Position

Supervisor Name:

Organization Phone Number

Town

Duties Include:

Start Date (Month, Date, Year)

End Date (Month, Date, Year)

Do you know what facility you wish to be placed at?

If yes, which community do you wish to be placed?

Are you available mid-May through early September?

If no, what is your end date? You may estimate at time of submitting this application.*

Emergency Contact Name*

Emergency Contact Preferred Phone Number*

Do you have any medical condition that, if hired, we should know about to protect your safety?

How did you hear about ClearWater Pools (friend, Facebook, internet, etc)

What is the most important aspect to be successful in the position you are applying for?*

Other Comments

Do you believe that the information entered here today is correct?