Rock Solid Gymnastics

Employment Application

Applicant Information

Full Name:

Date:

Last

First

M.I.

Address:

Street Address

Apartment/Unit #

City

State

ZIP Code

Cell Phone:

Email:

Date Available:

Social Security No.:

Desired Salary:

$

Position Applied for:

Are you a citizen of the United States?

YES

NO

If no, are you authorized to work in the U.S.?

YES

NO

Have you ever worked for this company?

YES

NO

If yes, when?

Have you ever been convicted of a felony?

YES

NO

If yes, explain:

If selected for employment are you willing to submit to a background check?    YES                 NO

Education

High School:

Address:

From:

To:

Did you graduate?

YES

NO

Diploma::

College:

Address:

From:

To:

Did you graduate?

YES

NO

Degree:

Other:

Address:

From:

To:

Did you graduate?

YES

NO

Degree:

Qualifications

Special Skills

 List any specific skills or experience that you feel would help you in the position you are applying for (leadership, organizations/teams, etc.

References

Please list three professional references.

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Previous Employment

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

$

Ending Salary:

$

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YES

NO

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

$

Ending Salary:

$

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YES

NO

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

$

Ending Salary:

$

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

YES

NO

Military Service

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false statements, omissions, misrepresentations or misleading information in my application or interview may result in my release.  I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability.

Signature:

Date:

Printed Name:_______________________________________________