Employment Application

Employment Application
Jam Hops Gymnastics, Dance, JH XSports, Theater, Leap-N-Learn Preschool and home of GRIT Adaptive

Inspiring Kids to Become LIFE CHAMPIONS!
Phone: (763)413-0647 Fax: (763)413-0920

1460 133rd Lane NE, Ham Lake, MN 55304

-and-

14200 Limonite St. NW, Ramsey, MN 55303

nnelson@jamhops.com

www.jamhops.com
Three or more character references are required for employment.

To be hired at Jam Hops, you are required to supply at least three references which attest to your suitability for employment. References MUST be on file before the hiring process can be completed.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Email:*
Are you 18 years of age or older?*

YesNo
If no, enter age in years
Enter Date of Birth (MM/DD/Year)*
Have you ever been convicted of anything other than a traffic violation?*

YesNo
If yes, please explain:*
Emergency Contact Information: Please supply Name, Relationship to you, email address and phone number.
How did you hear about us or who referred you?*
Location you are applying for:*

Blaine/Ham LakeRamseyI would work at either location
Position(s) you are applying for*

Activity CoachCustomer Care RepresentativeDance AssistantDance Instructor - CompetitiveDance Instructor - RecreationalFacilities AssistantFreestyle Fusion Assistant and Coach (30+ hours/week)Freestyle Fusion Coach (10 hours per week)GRIT Adaptive Athletics InstructorGymnastics Coach - CompetitiveGymnastics Coach - RecreationalLeap-N-Learn InstructorMarketing CoordinatorOther ______________________
Pay range expected?*
Date available to start (MM/DD/YEAR)*
How many hours do you prefer to work each week?*
Please fill in the hours you are available to work each day:
Monday*
Tuesday*
Wednesday*
Thursday*
Friday*
Saturday*
Sunday*
Flexibility:*

I can be flexible with my scheduleI can't be flexible with my schedule
At Jam Hops, teaching physical education skills to children or generally supervising children in a physical environment sometimes requires quick or unexpected movements including lifting or catching ("spotting") children weighing up to 150lbs. or more. Additionally, teaching positions also often require lifting and adjusting heavy sports apparatus. Please indicate if you have any current or past conditions which might keep you from safely performing the physical requirements of the position(s) for which you are applying for:*
Education
High School Name and location:*
Graduated*

YesNoReceived GED
Years completed:*

1 year2 years3 years4 years
College/other Name and Location
Graduated

YesNo
Years completed:

1 year2 years3 years4 years
Major/courses
Describe honors, apprenticeships, post graduate education or specialized training
Employment History

If you don't have any employment history or if you have employment history at 2 or fewer companies, please just type in "n/a" for not applicable in each field that you don't have information for so the form will enable to submit.
Company #1 Name*
Company #1 Phone Number*
Company #1 Address*
Name of Supervisor*
Current Employment Status:*

I am no longer employed at this companyI am currently employed and it is OK to contact this personI am currently employed, please DO NOT contact this person
Start Date:*
End Date:*
Job Title/Position:*
Describe your duties and responsibilities:*
Reason for leaving:*
Company #2 Name*
Company #2 Phone Number*
Company #2 Address*
Name of Supervisor*
Current Employment Status:*

I am no longer employed at this companyI am currently employed and it is OK to contact this personI am currently employed, please DO NOT contact this person
Start Date:*
End Date:*
Job Title/Position:*
Describe your duties and responsibilities:*
Reason for leaving:*
Company #3 Name*
Company #3 Phone Number*
Company #3 Address*
Name of Supervisor*
Current Employment Status:*

I am no longer employed at this companyI am currently employed and it is OK to contact this personI am currently employed, please DO NOT contact this person
Start Date:*
End Date:*
Job Title/Position:*
Describe your duties and responsibilities:*
Reason for leaving:*
Other Accomplishments (school, job, awards, dinstinction, certificates, volunteer work, sports, activities):
Our Jam Hops vision is impacting our community by nuturing children to become life champions. Please know, Jam Hops requires background checks for all employees.

I understand and agree that the company will administer background checks on me and my initial and continued employment is conditional upon the result of these checks.
Entering your full name and the date here indicates an electronic signature consenting to a background check:*
I certify that all the statements given on this application are true and complete and I authorize investigation of the same with exception of contacting my current employer if I have so requested in this document. I have read and agree to this statement. Please initial here:*
I understand that if I am hired my continued employment is contingent upon my successful performance during the new hire training period of 120 days. I have read and agree to this statement. Please initial here:*
Entering your full name and the date here indicates an electronic signature for the information provided in this application.*
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Employment Application

Jam Hops Gymnastics, Dance, JH XSports, Theater, Leap-N-Learn Preschool and home of GRIT Adaptive