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2D Sports & Fitness Independent Contractor Questionaire
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Phone
*
Your answer
Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Address | City | Zip Code
*
Your answer
Position Applied For
*
Your answer
Are you legally eligible to work in the U.S.?
*
Yes
No
Required
Have you worked with children or children with special needs?
*
Yes
No
Required
If yes, please explain your past experience.
Your answer
Have you previously coached sports or worked with athletes?
*
Yes
No
Required
If yes, please explain your past experience.
Your answer
Certifications
First Aid
CPR
AED
Other
If other, please list.
Your answer
Do you have a driver's license/vehicle?
*
Yes
No
Required
If yes, are you able to travel locally around DFW?
Yes
No
Education
High School
Your answer
Year of graduation
Your answer
College
Your answer
Year of graduation
Your answer
Degree
Your answer
Employment History
Company
Your answer
Dates Employed
Your answer
Supervisor
Your answer
Phone Number
Your answer
May we contact?
Yes
No
Company
Your answer
Dates Employed
Your answer
Supervisor
Your answer
Phone Number
Your answer
May we contact?
Yes
No
References
Name of Reference #1
*
Your answer
Relationship
*
Your answer
Company
*
Your answer
Phone Number
*
Your answer
Name of Reference #2
*
Your answer
Relationship
*
Your answer
Company
*
Your answer
Phone Number
*
Your answer
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