Employee Application

Splash Fit Swim Club, Inc. provides equal employment opportunity to all qualified persons and does not unlawfully discriminate against any person based on race, color, creed, religion, sex, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Complete all items on the application, even if the information is included on your resume or other document submitted by you.
A. Personal Information
Position Applying For:
Name:

First NameMiddle NameLast Name
Address:

Street Address & Apt

CityState / Province

Postal / Zip Code
Date of Birth:

MonthDayYear
Date
Cell Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:

Confirmation Emailexample@example.com
Resume and Certifications (If Applicable):

Cancelof
Are you able to perform the essential functions of the position as described in the Position Vacancy Announcement and/or Job Specification with or without reasonable accommodation?
If you would require an accommodation to perform the essential functions of this job and you wish to make known at this time what that would be, please indicate:
Please Identify if you have any relatives at Splash Fit Swim Club, Inc.

Yes, I do have a relative employed. (Please Provide Full Name)
Where did you hear about this position?
What is the earliest date you can begin work?

MonthDayYear
Date
Are you legally eligible for employment in the United States?
Have you ever applied to work for Splash Fit Swim Club, Inc?
Have you ever been convicted of a felony?
Have you ever been discharged or asked to resign from any employment?

Yes, (briefly explain)
B. Education
List most recent school attended (college, business school, high school, vocational or trade school, etc.)
High School/GED :

NameLocationDegree
College/University:

NameLocationDegree
Graduate School:

NameLocationDegree
Vocational/Specialized:

NameLocationDegree
Military Service:

Yes (Branch) :
C. Employment History
Begin with present or last employment and any other work within the last 5 years listing all job-related full time or part time employment.
1. Employer Name:
(Company or Authorized Person)
Position/Title:
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Supervisor:
Email
example@example.com
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Address:

Street Address

CityState / Province

Postal / Zip Code
2. Employer Name:
(Company or Authorized Person)
Position/Title:
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Supervisor:
Email
example@example.com
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Address:

Street Address

CityState / Province

Postal / Zip Code
3. Employer Name:
(Company or Authorized Person)
Position/Title
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Supervisor:
Email
example@example.com
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Address

Street Address

CityState / Province

Postal / Zip Code
D. Professional References
Full NameCompanyJob TitlePhone Number
Full NameCompanyJob TitlePhone Number
Full NameCompanyJob TitlePhone Number
Applicant Attestation: By my signature below, I declare and affirm that I have read and fully understand that: Any misrepresentation or material omission of facts in this application or in any other materials I submit in support of my candidacy including but not limited to the letter of application and resume, or in any oral statements I may make during the selection process shall be sufficient cause for disciplinary action up to and including termination, in the event I am hired, or shall be sufficient cause to end further consideration of my application prior to being hired;

I authorize Splash Fit Swim Club Inc. to make any necessary inquiries and investigations into my education, military, or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to Splash Fit Swim Club, Inc. by any of the schools, services, or employers listed on this application.

Any representations that are contrary to these policies, even when made in writing, are unenforceable.
SIGNATURE
DATE

MonthDayYear
Current Date

MonthDayYear
Date
Should be Empty:

A. Personal Information

B. Education

C. Employment History

D. Professional References