Empire: Junior Staff - Internship Application
519 1/2 W. Commerce
Bryant, AR 72022
501-847-0809
empirecheerleading@gmail.com
Email address *
First Name: *
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Last Name: *
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Home Address: *
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City/State/Zip: *
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Cell/Contact Number: *
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Personal Email Address: *
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Position Applying For: *
Why do you want to be an intern at Empire? *
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If you are applying for an internship for a high school course, please fill out the following questions.
High School:
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Teacher:
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Teacher E-mail:
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Teacher Phone: (optional)
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Grade Level:
How did you hear about Empire? *
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What will be your primary form of transportation to and from work? *
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Are you willing to work nights and weekends? *
What days and times are you available to work? *
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Have you ever been convicted of a felony or misdemeanor? *
If yes, please explain. *
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Applicant Skills:
Please check all that apply.
List any other skills that may be useful for the job you are seeking.
Office Interns:
Tumbling/Cheerleading Coaching Interns:
Parkour Interns:
Employment History
List your most recent employment.
Employer's Name:
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Supervisor's Name:
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Job Duties:
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Reason For Leaving:
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High School: *
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College: *
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Please indicate any current professional licenses or certifications that you hold: *
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Please fill out the following boxes of two personal references.
Non-Relatives
Full Name: *
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Phone: *
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E-mail: *
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Relationship: *
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Full Name: *
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Phone: *
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E-mail: *
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Relationship: *
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Certification
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Empire Cheerleading to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its owner, Brooke Plack, the employment relationship will be "at-will". In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Empire Cheerleading, except in a specific written contract of employement signed on behalf of the organization by its owner, Brooke Plack, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.

Applicant Signature: *
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Date: *
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