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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 &  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:______________________________