LTA Employment Application

LTA Employment Application
Date*

MonthDayYear
Date
Personal Information:
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Phone Number 2*

Area CodePhone Number
E-mail*
Birth Date*

MonthDayYear
Are You a U.S. Citizen?*

YesNo
T-Shirt Size*
Employment Desired:
Position Applying For*
Date You Can Start*

MonthDayYear
Do you speak Spanish?*

YesNo
If yes, how would you rate your proficiency level?

StrongAverageWeak

Educational Record*

	Type of School	From (Mo. & Yr.)	To (Mo & Yr.)	Graduate	Course
1
2
3
4

**Experience: Please account for all employment. List from most recent.

Educational Record*

	Firm Name	Position	Work Description	To	From
1
2
3
4

Are you employed now?*

YesNo
May we contact your present employer?*

YesNo
Skills/Qualifications:
Are you SafePlay Certified?*

YesNo
Professional Goals:*
Goals and reasons for desiring coaching:*
Have you ever coached before? If so, what was your experience?*
Have you ever volunteered in LTA programs or events? If so, please list which ones.*
References:
Reference 1*
Name of Reference
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Acquainted*
Phone*
Email*
Reference 2*
Name of Reference
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Acquainted*
Phone*
Email*
In 3 to 4 sentences, please describe why you would like to have this job:*
Cover Letter & Resume:
Cover Letter
Resume*
SafePlay Certification
Send Application:
By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the organization's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the organization.
Should be Empty:

LTA Employment Application

Personal Information:

Employment Desired:

**Experience: Please account for all employment. List from most recent.

Skills/Qualifications:

References:

Cover Letter & Resume:

Send Application: