Chemical Pools Employment Application

Simply fill out the form below and click submit.

Last Name: First Name: MI: Street Address: City: State: Zip Code: Phone: Email: DOB: Driver's License and State: Highest level of education: Brief work history: Have you ever worked in the pool industry: Pool work history: Have you ever filed workman's comp claim: Workman's Comp History: Have you ever been arrested? Arrest details: Are you color blind?: Are you required to pay alimony, child support, past-due taxes, or student loans?: Payment details: Do you smoke or drink alcohol: Cigarettes / Drinks per day: How will you get back and forth to work:

I VERIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND A DRUG TEST WILL BE REQUIRED, AND I GIVE PERMISSION FOR CHEMICAL POOLS INC TO SEARCH AND RETAIN PUBLIC RECORDS FOR BACKGROUND INFORMATION PRIOR TO HIRING.