USA SOFTBALL OF SAN ANTONIO
APPLICATION FOR SOFTBALL OPERATIONS - CONTRACT SERVICES
DATE:____________________
Personal Information:
First Name____________________ M.I.___ Last Name_______________________
Street Address__________________________________________________ Apt.#__________
City, State, Zip Code____________________________________________________________
Home Phone (____)______________________ Cell Phone (_____)______________________
Email Address_________________________________________________________________
Social Security Number___________-_____________-___________
Shirt Size ____________________
Have you ever been convicted of or pleaded no contest to a felony within the last five years?
Yes_____/ No_____
If Yes, Please Explain:
_____________________________________________________________________________
Position / Availability
Position applying for: Gate Keeper_____ / Grounds Keeper_____ / Scorekeeper_____
Days Available:
Monday _____Tuesday _____Wednesday _____Thursday _____Friday _____
Saturday _____Sunday _____All _____
Education:
Name and Address of School: _____________________________________________________ Diploma & Â Graduation Date:__________________________________________
Do You Have any Experience in the position you are applying for: Yes____ No____
If Yes, Please explain where/how you received your experience.
______________________________________________________________________________
Employment History:
Emloyer:_____________________________________________________________________
Address____________________________City / State_____________________Zip Code_____
Supervisor Name_______________________________________________________________
Phone_______________________________Email____________________________________
Position Title:_________________________________________________________________
Dates of Employment:_____________________ to ____________________
Responsibilities:_______________________________________________________________
_____________________________________________________________________________
Reason for Leaving:____________________________________________________________
_____________________________________________________________________________
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Emloyer:_____________________________________________________________________
Address____________________________City / State_____________________Zip Code_____
Supervisor Name_______________________________________________________________
Phone_______________________________Email____________________________________
Position Title:_________________________________________________________________
Dates of Employment:_____________________ to ____________________
Responsibilities:_______________________________________________________________
_____________________________________________________________________________
Reason for Leaving:____________________________________________________________
_____________________________________________________________________________
May we contact your present Employer? Yes_____ / No_____
References: (At least one Professional and one Personal)
Name: _______________________________________________________________________
Title: ________________________________________________________________________
Phone: _______________________________________________________________________
Email _______________________________________________________________________
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Name: _______________________________________________________________________
Title: ________________________________________________________________________
Phone: _______________________________________________________________________
Email _______________________________________________________________________
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Name: _______________________________________________________________________
Title: ________________________________________________________________________
Phone: _______________________________________________________________________
Email _______________________________________________________________________
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
I also understand that I am responsible for my taxes and I will be receiving a 1099 – MISC to report to the Internal Revenue Service (IRS) at the end of the Year.
Signature:______________________________ Print Name:____________________________
Date:______________________________