Nebraska Parkour LLC - Application for Employment
Please complete all and as much of the form below to apply for a position with us. This application may take between 5-30 minutes.
In accordance with the Civil Rights Act of 1964, and all other Federal, State, and Local legislation on discrimination, Nebraska Parkour is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, national origin, marital status, sex, or age. The information requested is needed for a bona fide occupational qualification and no other purpose. All information contained herein is strictly confidential.
Position You are Applying For
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Full/Part-time Sales Associate/Front Desk Staff
Part-time Parkour Coach
Part-time Weekend Party Staff
Seasonal Summer Camp Counselor
Full Name
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First Name
Middle Name
Last Name
Current Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
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example@example.com
Phone Number
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Do you have reliable transportation?
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Yes
No
According to "Child Labor Laws," it is against the law for children under the age of 16 to work past 7:00 PM during the school year. Some positions will require employees to work past 7:00 PM. Does your age prevent you from working past 7:00 PM?
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Yes
No
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Education
Will you be uploading a resume/document with high school information on it?
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Yes
No
Will you be uploading a resume/document with College/University/Other information on it?
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Yes
No
Education - High School
Name of School or Equivalent Information
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Location of School
Number of Years Attended
Did you graduate?
Yes
No
Relevant Subjects Studied
Education - University/College/Other
Name of School
School 1
Location of School
School 1
Did you graduate?
Yes
No
Major/Minor/Concentrations
School 1
Degree/Diploma Type
School 1
Name of School
School 2
Location of School
School 2
Did you graduate?
Yes
No
Major/Minor/Concentrations
School 2
Degree/Diploma Type
School 2
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Employment History
Will you be uploading a resume/document with your employment history on it?
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Yes
No
Is there anything you would like to tell us?
Nebraska Parkour LLC has my full consent to contact the businesses/people listed below or on the uploaded documentation for information on work experience/history:
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Employment History
Company Name
Company 1
Company Address
Street Address (Company 1)
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Company 1
Supervisor Name
First Name (Company 1)
Last Name
Start Date
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Month
-
Day
Year
Company 1
End Date
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Month
-
Day
Year
Company 1
Position
Company 1
Ending Wage/Salary
Company 1
Description of Work
Company 1
Reason for Leaving
Company 1
Company Name
Company 2
Address
Street Address (Company 2)
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Company 2
Supervisor Name
First Name (Company 2)
Last Name
Start Date
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Month
-
Day
Year
Company 2
End Date
-
Month
-
Day
Year
Company 2
Position
Company 2
Ending Wage/Salary
Company 2
Description of Work
Company 2
Reason for Leaving
Company 2
Company Name
Company 3
Address
Street Address (Company 3)
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Company 3
Supervisor Name
First Name (Company 3)
Last Name
Start Date
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Month
-
Day
Year
Company 3
End Date
-
Month
-
Day
Year
Company 3
Position
Company 3
Ending Wage/Salary
Company 3
Description of Work
Company 3
Reason for Leaving
Company 3
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References
Will you be uploading a document with at least three references on it?
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Yes
No
References
Name
*
First Name (Reference 1)
Last Name
Address
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Street Address
Street Address Line 2
City (Reference 1)
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
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Reference 1
Relationship
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Reference 1
Name
First Name (Reference 2)
Last Name
Address
Street Address
Street Address Line 2
City (Reference 2)
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
Reference 2
Relationship
Reference 2
Name
First Name (Reference 3)
Last Name
Address
Street Address
Street Address Line 2
City (Reference 3)
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
Reference 3
Relationship
Reference 3
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Related Experience/Skills/Qualifications
Describe any specialized training, skills and professional memberships or certifications that may pertain to this job position (e.g. parkour training, sign language, CPR/First Aid/AED, APK Ambassador, USAG Member, working with children, related fields of study, etc.).
Position & Scheduling
Please list the days and hours you are available to work.
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E.g. Monday: 4:00 PM - 7:00 PM | Saturday: 10:00 AM - 12:00 PM | Open Availability
Date Available to Start Work
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-
Month
-
Day
Year
Date
Wage Desired
Physical Record
Do you have any physical limitations that preclude you from performing any work for which you are being considered?
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Yes
No
If "Yes," please explain.
In case of emergency, please notify:
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First Name
Last Name
Emergency Contact Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Phone Number
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Please enter a valid phone number.
Relationship
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Legal Information
Are you legally eligible to work in the United States?
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Yes
No
Have you ever been convicted of a crime?
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Yes
No
If "Yes," please explain
Have you ever been subject to any court order involving sexual, physical, or verbal abuse?
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Yes
No
If "Yes," please explain
Have you ever been declared liable for civil penalties or damages involving sexual, physical, or verbal abuse?
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Yes
No
If "Yes," please explain
Have you ever resigned, been terminated, or asked to resign due to complaints of sexual, physical, or verbal abuse?
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Yes
No
If "Yes," please explain
Do you have a conviction for the use and/or sale of an illegal substance?
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Yes
No
If "Yes," please explain
Have you been denied membership in any parkour, gymnastics, sports-related or educational organization?
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Yes
No
If "Yes," please explain
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Uploads
Resumes, CVs, Cover Letters, References, supporting documentation
Please upload your resume, if applicable.
Browse Files
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Choose a file
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Please upload any additional documentation you may have.
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Please upload any additional documentation you may have, if you have more.
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Final Questions
How did you hear about us?
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Who referred you to Nebraska Parkour, if anyone?
First Name
Last Name
Hobbies
Why do you want to work for Nebraska Parkour?
Anything else you'd like to tell us?
Attestations
Self Attestation is required.I understand that Nebraska Parkour LLC (NEPK) will rely, in part, on the information I provide in this Employment Application in considering whether to hire me. I understand that it is important that I provide complete and accurate information and certify that I have done so. If NEPK discovers at any time that I failed to completely and honestly provide any information requested of me in this Employment Application or during the interview process, I understand that my application will no longer be considered or, if I am working for NEPK, that I will be subject to disciplinary action, up to and including termination of employment. NEPK is committed to compliance with the provisions of this nation’s immigration laws regarding verification of employment eligibility. Any offer of employment will be contingent upon your ability to provide legally sufficient documentation showing your eligibility to be employed by this organization. Applicants or employees that present fraudulent documents for employment verification purposes will be terminated.I authorize NEPK to contact anyone that it deems appropriate to verify the information I have provided or to further investigate my background, past performance and suitability for employment. I consent to being discussed by any person contacted by NEPK and waive all rights to bring any action for defamation, invasion of privacy or any similar claim against anyone that provides information to the organization with a good faith belief that the information provided is true. I understand that NEPK may choose to obtain background information about me from a consumer reporting agency. Before requesting a report from a consumer reporting agency, the organization will ask for my authorization. I understand that if I refuse to provide such authorization, my application for employment will not be considered.I understand that this Employment Application is not an offer of employment. I understand that nothing contained in this Employment Application creates a contract between NEPK and me for employment or any other benefit. No promises regarding employment have been made and I understand that no such promise or guarantee is binding upon NEPK. I understand that employment is contingent on a satisfactory background check. I understand that if I am hired, I will be an employee "at will," meaning I am not hired for any definite length of time and either I or the organization can terminate my employment at any time for any or no reason. If employed, I understand and agree that NEPK retains the sole right in its business judgment to modify, suspend, interpret, or cancel, in whole or in part, at any time, with or without any notice, any published or unpublished policy, practice, procedure, process, or benefit. If employed, I understand that I may be required to comply with federal and/or state Drug Free Workplace Laws and regulations. I understand and agree to comply with such laws. If employed, I understand that as a condition of employment that I may be required to agree to and sign NEPK's confidentiality, non-compete, and/or other similar agreements. I also agree to notify NEPK during the pre-employment process of any confidentiality, non-compete, and/or other similar agreements that I may have already signed with current and/or former employers.
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Today's Date
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Month
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