Coaches Application Form

In order for payroll to be processed by Pool Personnel, the following must be completed along with a W-4 tax form.

Pool Personnel, Inc. Coaching Application (2012)
Full Name: Date of Birth:
Street Address:
City:   State: Zip:
Home Phone: Cell Phone:
Email Address:
Certifications you presently hold. If you do not have a valid certification for any of these categories, please indicate so. Proof of certification will be asked for prior to the start of morning practices, if applicable.  (if you have not yet completed certifications, please indicate the expected date of completion )
Type Expiration Date (or none)
Lifesaving
First Aid
CPR
Pool Operator
At which pool have you been hired:
Please include any additional information that may be relevant: