PLEASE PRINT, COMPLETE APPLICATION, AND RETURN TO Sportsplex

Sportsplex

EMPLOYMENT APPLICATION

*Fill in all areas

*Please print clearly

Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or in the presence of a non-related medical condition or handicap.

Name_______________________________________________________Date___________________

Address__________________________________Phone 1_______________Phone 2______________

City_____________________State_____Zip__________email:________________________________

DOB_________________Are you a citizen of the United States of America?    [ ] Yes  [ ] No

Position Desired:____________________________Salary Desired:_____________________________

Start When_______________ [ ] Full time  [ ] Part time  [ ] Temporary  [ ] Other__________________

Referred By:______________________________________________

EMPLOYMENT EXPERIENCE; Start with your present job or last job. Include military assignments and other volunteer activities. Exclude organizational names which indicate race, color, religion, sex, or national origin

Employer 1__________________________________________________________________________

Address___________________________________City________________State_____Zip__________

Phone #________________Supervisors’ Name_____________________________________________

Job Title______________________Reason for leaving_______________________________________

Dates of Employment: From_________To__________Salary or Hourly rate______________________

Employer 2__________________________________________________________________________

Address___________________________________City________________State_____Zip__________

Phone #________________Supervisors’ Name_____________________________________________

Job Title______________________Reason for leaving_______________________________________

Dates of Employment: From_________To__________Salary or Hourly rate_____________________

Employer 3__________________________________________________________________________

Address___________________________________City________________State_____Zip__________

Phone #________________Supervisors’ Name_____________________________________________

Job Title______________________Reason for leaving_______________________________________

Dates of Employment: From_________To__________Salary or Hourly rate______________________

Sportsplex

EMPLOYMENT APPLICATION PART 2 

EDUCATION

Schools/Colleges Attended:                                                                   # Years     Year Grad.    Degree

____________________________________________________        _______  _______  ___________

____________________________________________________        _______  _______  ___________

____________________________________________________        _______  _______  ___________

Describe any special qualifications for this job:

___________________________________________________________________________________

___________________________________________________________________________________

REFERENCES:  Please provide 3 references of persons who are not relatives or former employers, whom you have known at least 3 years.

            Name                                                   Phone

1._____________________________________________________________________

2._____________________________________________________________________

3._____________________________________________________________________

I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given on my application or interview may result in termination.

Signature___________________________________________________Date_____________________

For Personnel Department only

Remarks____________________________________________________________________________

___________________________________________________________________________________

Availability:_________________________________________________________________________

___________________________________________________________________________________

Interviewed by__________________________Date______________________________________