Employment Application "*" indicates required fields APPLICANT INFORMATIONFirst NameM.I.Last NameAddress* Street Address Apartment/Unit # City State ZIP Phone*E-mail Address* 2nd PhoneDate Available* MM slash DD slash YYYY Desired Salary*Position Applied for*Are you authorized to work in the U.S.?* Yes No Do you have a valid drivers license?* Yes No Have you ever worked for this company?* Yes No If so, when?*Have you ever been convicted of a felony?* Yes No If yes, explain*Which skills are you proficient with?* Office/Clerical Interior Trim Painting Sheetrock Deck Building Maintenance Other: EDUCATIONHigh SchoolAddressFrom* MM slash DD slash YYYY To* MM slash DD slash YYYY Did you graduate?* Yes No CollegeAddressFrom MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No DegreeOtherAddressFrom MM slash DD slash YYYY To MM slash DD slash YYYY Did you graduate? Yes No DegreeREFERENCES Please list three professional references.Full Name*Relationship*CompanyPhone*Address Street Address Full Name*Relationship*CompanyPhone*Address Street Address Full Name*Relationship*CompanyPhone*Address Street Address PREVIOUS EMPLOYMENTCompanyPhoneAddress Address SupervisorJob TitleStarting Salary $Ending Salary $ResponsibilitiesFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for Leaving*May we contact your previous supervisor for a reference? Yes No CompanyPhoneAddress Address SupervisorJob TitleStarting Salary $Ending Salary $ResponsibilitiesFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for a reference? Yes No CompanyPhoneAddress Street Address SupervisorJob TitleStarting Salary $Ending Salary $ResponsibilitiesFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason for LeavingMay we contact your previous supervisor for a reference? Yes No MILITARY SERVICEBranchFrom MM slash DD slash YYYY To MM slash DD slash YYYY Rank at DischargeType of DischargeIf other than honorable, explainDISCLAIMER, CONSENT FOR BACKGROUND INVESTIGATION, AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. I hereby agree to have Hayward, Inc. contact anyone necessary to investigate or verify any information I have given on this application, or to discuss my background, past performance, or my suitability for employment. I further agree to have my work background discussed by any person so contacted, and waive all my rights to bring any action for defamation, invasion of privacy, or any similar cause of action, against anyone contacted as a result of what is said about me. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.Signature*Date* MM slash DD slash YYYY Resume UploadMax. file size: 1 GB.
