Palmetto Athletic Center Employee Application
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First and Last Name *
Email Address or Phone Number *
List Email or Phone Number
Date of Birth *
Availability *
Please list the times you are available each day of the week
How many hours are you looking to work each week? *
Please check which areas of PAC you are interested in *
Required
Wages Desired *
CPR certified? If yes, dates valid
Have you ever been convicted of a crime?  (Omit minor traffic violations) *
If yes, please describe.
Are you authorized to work in the U.S.A.? *
Do you have a vacation planned where you will need time off?  If so what are the dates? *
Do you have any relatives or friends employed by PAC?  If yes, give name and relationship. *
Current Level of School *
Please list most recent work experience, name of supervisor, and pay rate *
We will contact all previous or current employers listed for a professional reference.
How did you hear about us? *
Please read and understand this statement before signing your application.  If you agree please sign name below. *
This information I have provided in this application for employment is true, correct and complete.  False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination for my employment.  I authorize the employer to contact and obtain information about me from previous employers or educational institutions I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview.  To assist in the processing of my application, I waive all rights and claims I may otherwise have against the employer or it's representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.  This application will expire in thirty days.  After that date, unless otherwise notified, I understand that my status as an applicant will end.  I may re-apply for employment in the future by completing a new application.  This application is not an employment agreement.  If I accept an offer of employment I understand I may resign at any time, and the employer may terminate my employment at anytime, with or without cause and without prior notice, unless required by law.  I understand that no on, other than an executive officer of the employer, has the authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer. I understand that summer hours are not guaranteed and will be given according to length of employment and need.  I understand that the gymnastics showcase (in May and December) is mandatory and agree to work the weekend of the showcase.  I understand that Palmetto Athletic Center will perform a background check on me through an authorized service.  I fully understand and accept all terms and conditions in the above statement. Type your name in the space below if you agree
Date Signed *
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