Trainer Job Applications

Basic Information
Zip code of the local firm's office for which you are applying:
Note: if you are on a mobile device, turn it sideways to help see everthing properly.

IMPORTANT: this page is only step #1 of a 2-step application process. Once you submit the information on this page, you will be directed to the next simple but vital step, which must be completed to be considered for the position! Thank you.
How did you find out about this position?
Interested in:

Full TimePart Time
First Name
Middle Name
Last Name
Birthday
Phone Number
E-mail
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
*Additional comments
Are you legally entitled to work in the United States?

YesNo
Have you ever been charged or convicted of a felony?

YesNo
Please share details of charge / conviction, including dates, etc. here:
If you are hired, when can you start work?
Education and Experience
Select Education Qualification:

Personal Training CertificationFormal Education in FieldAll of the Above
List all certifications, starting with the best:
List all formal degrees, starting with the most relative:
How long have you been training clients?
With what companies have you worked in the past?
Current Employer and Tenure:
Previous Employer and Tenure:
Today's Date:

MonthDayYear
References and Recommendations
NOTE: We understand that although you may be looking at other opportunities, you do not wish to divulge that to your current employer yet. With that in mind, we will not contact any of these references, or current employers, until first notifying you that we plan to do so.
Social (friend, club or church member)
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Professional (manager, director, boss)
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Developmental (coach, pastor, mentor)
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Thank you for your interest in joining us!
I certify that my answers are true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate discharge. **By signing below, I am granting permission to Elect Wellness, Inc. to run a background check on me.**
Should be Empty:

Basic Information

Education and Experience

References and Recommendations

Thank you for your interest in joining us!