Job Application: Recreational Gymnastics Coach

Fields marked with an asterisk (*) must be filled out before submitting.

Last Name *
First Name *
Middle Name
Date *
Street Address *
Apartment/Unit #
City *
State *
Zip *
Phone Number *
E-mail Address *
Date Available *
Social Security No.
Desired Salary *
Are you a citizen of the United States? *
If no, are you authorized to work in the U.S.? *
Have you ever worked for this company? *
Have you ever been convicted of a felony? *

Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
Start Date
End Date
Reason for Leaving
May we contact your previous supervisor for a reference?
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
Start Date
End Date
Reason for Leaving?
May we contact your previous supervisor for a reference?
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
Start Date
End Date
Reason for Leaving?
May we contact your previous supervisor for a reference?
Do you have any special training in the field of gymnastics, dance or cheerleading?
Have you ever trained others?
Have you ever supervised other?
Do you have first aid/CPR training?
List any extracurricular activities that would be of assistance in the position applied for:

Position you are applying for?
Full-time or part-time?
If part-time hours per week desired?
Days of the week you are available to work?	Monday Tuesday Wednesday Thursday Friday Saturday
If hired, on what date could you start work?
Hourly rate of pay or monthly salary desired

I certify the statements given on this application or during an interview are true and complete and I authorize investigation of the same with the exception of contacting my current employer if I have requested thus in this document. I have read and agree to the above statement
I understand that if I am hired, that any false, incomplete or misleading information given herein or during an interview, shall result in immediate termination. I have read and agree to this statement
I authorize the references given on this application and during any interview to give to representatives of Galaxy Sports Group Inc., any and all information concerning employment and any pertinent information they may have, personal or otherwise, and I release all parties from any and all liability from any damage that may result. I have read and agree to this statement.
I understand that if I am hired my continued employment is contingent upon my successful performance during a nre hire period of 90 days.
I understand that if I am hired, my ongoing employment will be AT WILL meaning employment may be terminated by either party at any time with or without reason and with or without notice. I further understand that this AT WILL agreement cannot be changed in any way except through a written understanding signed by the Company president. . I have read and agree to this statement.
Please type your name and date, this acts as an online Signature