Bower Hill Swim Club
	PO Box 13117
	Pittsburgh, PA 15243
	412-276-3131
	www.bowerhillpool.com
Application for Employment

Personal Information
Birth Date _________________________
Name ______________________________________________________________
Last	First	Middle
Present Address _____________________________________________________________________
Street		City	State           Zip Code
Permanent Address (If different) ____________________________________________________________
Street		City	State           Zip Code
Current Phone # ________________________		Phone # (after May 15th, If different) _____________
If related to anyone in our employ, state their name ________________________________________
Does your family currently belong to the pool? ___________________________________________

Employment Desired
Check positions in which you are interested =====>		Gate_____  Guard_____  Maintenance_____
Date available to start work: ________________		Last date available to work: _____________
Any Dates Unavailable to work: _________________________________________________________

Education

	Name of School	Current Grade or Year Graduated
High School
College

List all Certifications and Dates of Expiration

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Have you ever been a member of your School/Community Swim Team? __________________

If yes, how many years were you a member? _______________________________________

If qualified, are you interested in giving swim lessons? ________________________________



Employment Related References

Name	Phone Number	How are you acquainted?	Years Acquainted

I Authorize investigation of all statements contained in this application. I understand that
misrepretation or omission of facts called for is cause for dismissal. Further, I understand and agree
that my employment is for no definite period and may regardless of the date of my wages and salary,
be terminated at any time without any previous notice.

________________________	____________________________________________
Date	Signature