Iron Cross Employment Application Form
Date:
Personal Information
Name:
Email Address
Address:
City:
State:
Zip Code
Telephone:
Social Security No.
If under 18 years of age - list age:
Position:
Postion Applying For:
Please select...
Coach - Girls Team Gymnastics
Coach - Boys Team Gymnastics
Coach - Tumble
Instructor - General Classes
Other
Other - Position:
When Available to Start:
Desired Hourly Wage:
Education
Name of School
City, State
No Yrs Completed
Major / Degree
High School
College
Bus / Trade School
Professional School
Drivers License / Record / Transportation:
Do you have a driver's license?
Yes
No
Drivers License No:
State:
Expiration:
Have you had any accidents during past 3 years?
Yes
No
How many?
Have you had any moving violations during past 3 years?
Yes
No
How Many?
What is your means of transportation?
Criminal Record:
Have you ever been convicted of a crime?
Yes
No
If Yes, please give date(s), nature of conviction(s).
Military:
Have you ever been in the Armed Forces?
Yes
No
Are you now a member of The National Guard?
Yes
No
Speciality:
Date Entered:
Discharge Date:
References:
Please list two references other than relatives or previous employers.
Name:
Name:
Position:
Position:
Company:
Company:
Address:
Address:
City, State Zip Code:
City, State Zip Code:
Telephone:
Telephone:
Qualifications
Summary:
Work Experience:
May we contact your current employer?
Yes
No
Name of Employer
Company:
Address:
City, State Zip Code
Telephone:
Supervisor:
Employment Dates:
From:
To:
Pay or Salary:
Start:
Final:
Job Title / Duties:
Reason for leaving:
Work Experience:
Name of Employer
Company:
Address:
City, State Zip Code
Telephone:
Supervisor:
Employment Dates:
From:
To:
Pay or Salary:
Start:
Final:
Job Title / Duties:
Reason for leaving:
Work Experience:
Name of Employer
Company:
Address:
City, State Zip Code
Telephone:
Supervisor:
Employment Dates:
From:
To:
Pay or Salary:
Start:
Final:
Job Title / Duties:
Reason for leaving:
Work Experience:
Name of Employer
Company:
Address:
City, State Zip Code
Telephone:
Supervisor:
Employment Dates:
From:
To:
Pay or Salary:
Start:
Final:
Job Title / Duties:
Reason for leaving:
Attach Resume?
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