Iconix Fitness Application for Employment

ICONIX FITNESS APPLICATION FOR EMPLOYMENT

ICONIX FITNESS is an equal opportunity employer. ICONIX FITNESS does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.
Please attach your Cover Letter and Resume

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PERSONAL INFORMATION

Incomplete information could disqualify you from further consideration. Please complete all fields.
Your name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*
Please enter a valid phone number.
E-mail Address*
example@example.com
Are you eligible to work in the U.S?*

YesNo
Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)*

YesNo
Have you ever been terminated from employment or asked to resign by an employer?*

YesNo
If yes, please provide company name and details of termination.
Can you work any shift?*

YesNo
If no, please explain:
Are there any days you are unable to work?*

MondayTuesdayWednesdayThursdayFridaySaturdaySundayI am available to work any day of the week
Can you work weekends and holidays?*

YesNo
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?*

YesNo
EMPLOYMENT DESIRED
Position Desired*
Employment status desired*
Which location?*

Long BeachInglewood
Date you can start*
Hourly rate / Salary desired*
Are you currently employed?*

YesNo
May we contact your current employer for a reference?

YesNo
Referral Source
How did you hear about us?
Have you ever worked for this company before?*

YesNo
If yes, please explain:
Do you know anyone who works for our company?*

YesNo
If yes, who?
Education History
Did you attend High School?

YesNo
High School Name
High School Location
Degree received?

YesNo
Did you attend College?

YesNo
College Name
College Location
Degree received?

YesNo
Subjects studied / Major?
Did you attend Trade, Business, or Correspondence School?

YesNo
School Name
School Location
Degree received?

YesNo
Subjects studied / Major?
Employment History

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.
Job Title
Summarize the nature of work performed and job responsibilities:
Employer Name
Employer Phone Number
Please enter a valid phone number.
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Immediate supervisor and title
Date of employment
Ex. From March 2023 to September 2024
Reason for leaving
Do you want to add a second job?

YesNo
Job Title (#2)
Summarize the nature of work performed and job responsibilities:
Employer Name
Employer Phone Number
Please enter a valid phone number.
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Immediate supervisor and title
Date of employment
Ex. From March 2023 to September 2024
Reason for leaving
Do you want to add a third job?

YesNo
Job Title (#3)
Summarize the nature of work performed and job responsibilities:
Employer Name
Employer Phone Number
Please enter a valid phone number.
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Immediate supervisor and title
Date of employment
Ex. From March 2023 to September 2024
Reason for leaving
References

Give the names of three persons not related to you, whom you have known at least three (3) years.
Reference #1 Name
Reference #1 Phone Number
Please enter a valid phone number.
Reference #1 Email
example@example.com
Company
Number of years acquainted
Reference #2 Name
Reference #2 Phone Number
Please enter a valid phone number.
Reference #2 Email
example@example.com
Company
Number of years acquainted
Reference #3 Name
Reference #3 Phone Number
Please enter a valid phone number.
Reference #3 Email
example@example.com
Company
Number of years acquainted
Please read carefully before signing. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for ICONIX FITNESS to hire me. If I am hired, I understand that either ICONIX FITNESS or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of ICONIX FITNESS has the authority to make any assurance to the contrary. I attest with my signature below that I have given to ICONIX FITNESS true and complete information on this application. No requested information has been concealed. I authorize ICONIX FITNESS to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
Signature*

Clear
Date*

MonthDayYear
Date
THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE ABOVE.
Should be Empty:

ICONIX FITNESS APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

EMPLOYMENT DESIRED

Referral Source

Education History

Employment History

References