Wichita Swim Club Job Application
The Wichita Swim Club (WSC) is and equal opportunity employer committed to a policy of nondiscrimination with respect to race, color, religion, sex, national origin, disability, age pregnancy, Vietnam veteran status, and any other class protected by applicable federal, state, or local law
Name
First and last name
Your answer
Email
Your answer
Phone number
Your answer
Address
Your answer
Are you Authorized to work in the United States?
Are you age 16 or older?
Are you able to meet the attendance requirements for the position for which you are applying?
Date Available to Work
MM
/
DD
/
YYYY
Which position(s) are you interested in?
Required
During the past five years have you had any periods of unemployment?
During the past five years have you been discharged, suspended, or asked to resign for any reason from any position?
Please provide a residential history and/or Name changes for the past 10 years, starting with the most recent.
City-State (only), From (Mo/Yr), To(Mo/Yr), First middle and last name known by at this address
Your answer
Do you have any affiliation to any swimmer, staff memeber, club member, or vendor of the Wichita Swim Club?
Do you now have any criminal charges pending?
Have you been convicted of breaking any federal, state, county, or municipal law, regulation, or ordinance? If yes please explain
Your answer
Eduation
School/College, Years Attended, Degree/Certificate, Year Graduated
Your answer
References
Name, Telephone, Years Known
Your answer
Employment Record
Employer, Your Title, Supervisor, Phone Number, Length of Employment (dates), Last Salary $,
Your answer
Employment Record
Employer, Your Title, Supervisor, Phone Number, Length of Employment (dates), Last Salary $,
Your answer
Employment Record
Employer, Your Title, Supervisor, Phone Number, Length of Employment (dates), Last Salary $,
Your answer
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