Gym Ventures Employee Application Form

Last Name		First Name
Email		- - Address
City		State- - Choose One - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip
Cell Phone		Alternative Phone
Position Desired		Minimum Pay Expected Will you work overtime if asked? Yes No
When will you be available to work?
8.30am-3pm		Mon Tue Wed Thu Fri Sat Sun
3-8pm		Mon Tue Wed Thu Fri Sat Sun
Available Start Date
EDUCATION:
1. School & Location		Course
# of Yrs Completed		Graduation Date
2. School & Location		Course
# of Yrs Completed		Graduation Date
3. School & Location		Course
# of Yrs Completed		Graduation Date
4. School & Location		Course
# of Yrs Completed		Graduation Date
1. Have you had any physical disabilities or operations in the last 5 years? Yes No
What?
2. Have you ever been arrested or placed on probation? Yes No
3. Do you smoke? Yes No
4. Have you ever been dismissed from employment or laid off? Yes No
Why?
5. Do you have your own car or dependable way to work? Yes No
Explain
6. Where and how long did you have lessons in gymnastics?
7. Former teachers & coaches
8. Awards or titles won in gymnastics, tumbling, or related fields
Our hours vary from week to week and occasionally you may be asked to stay late, leave early or come in on your day off. What problems do you foresee with this?
FORMER EMPLOYERS (List below last three employers, starting with the most recent one first):
From Date		To Date
Employer Name & Address
Salary		Position
Reason for leaving
From Date		To Date
Employer Name & Address
Salary		Position
Reason for leaving
From Date		To Date
Employer Name & Address
Salary		Position
Reason for leaving
Which one of these jobs did you like best?
What did you like most about this job?
REFERENCES (give the names of three persons not related to you who you have worked for):
1.Name Phone Business Yrs Acquainted
2.Name Phone Business Yrs Acquainted
3.Name Phone Business Yrs Acquainted
Please indicate your strengths and weaknesses as a gymnastics coach or for the position you are applying for:
Strengths
Weaknesses
“I certify that the facts contained in this application are true and complete to the best of my Knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you.
I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause.”
Please read the statement above and initial below.