KIAGA Job Application Form

Job Application Form

Please complete the form below to apply for a position with us.
PERSONAL INFORMATION
Date*

MonthDayYear
Today's Date
Full Name*

First NameMiddleLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Cell Number*
Alt Number
How did you learn about us?*
JOB INFORMATION
Applying for Position*
Expected Pay Rate Per Hour*
Days available for work - Daytime

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Days available for work - Evenings

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Date you can begin work

MonthDayYear
Are you over 16 years of age? (If no you would be required to obtain a work permit)

YesNo
Date of Birth (only enter if under 18)

MonthDayYear
Date
Are you currently employed?

YesNo
May we contact your current employer?

YesNo
Are you prevented from becoming lawfully employed because of Visa or Immigration status?

YesNo
Have you been convicted of a felony?

YesNo
Have you ever been convicted for any crime including sex-related or child abuse related offenses?

YesNo
Do you have your own car or dependable way to work?

YesNo
EDUCATION
Name and location of High School (if applicable)
Number of years completed
Did you graduate?

YesNo
Name and location of College (if applicable)
Number of years completed
Did you graduate?

YesNo
Describe honors, apprenticeships or specialized training:
EMPLOYMENT EXPERIENCE - start with your present or most recent job
Company Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone Number

Area CodePhone Number
Date started job

MonthDayYear
Date
Date ended job

MonthDayYear
Date
Starting Wage/Salary
Final Wage/Salary
Name of Immediate Supervisor
I am no longer employed at this companyI am currently employed at this company and it is OK to contact this personI am currently employed at this company, please do not contact this person
Reason for leaving
Describe your duties and responsibilities

Additional Work Experience #1
Additional Work Experience 1
Company Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone Number

Area CodePhone Number
Date started job

MonthDayYear
Date
Date ended job

MonthDayYear
Date
Starting Wage/Salary
Final Wage/Salary
Name of Immediate Supervisor
I am no longer employed at this companyI am currently employed at this company and it is OK to contact this personI am currently employed at this company, please do not contact this person
Reason for leaving
Describe your duties and responsibilities

Additional Work Experience #2
Additional Work Experience 2
Company Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone Number

Area CodePhone Number
Date started job

MonthDayYear
Date
Date ended job

MonthDayYear
Date
Starting Wage/Salary
Final Wage/Salary
Name of Immediate Supervisor
I am no longer employed at this companyI am currently employed at this company and it is OK to contact this personI am currently employed at this company, please do not contact this person
Reason for leaving
Describe your duties and responsibilities

Personal Qualities
Describe the qualities you have which will enable you to do the job you are applying for. Please be thorough. TEACHERS INCLUDE ANY GYMNASTICS EXPERIENCE - OFFICE STAFF INCLUDE ANY OFFICE EXPERIENCE. ALL APPLICANTS INCLUDE YOUR KNOWLEDGE OF RECREATIONAL GYMNASTICS.
UNDERSTANDING & AGREEMENT (please read each statement carefully)
I certify that the statements given on this application or during an interview are true and complete and I authorize investigation of same with exception of contacting my current employer if I have so requested in this document. I have read and agree to the above statement*
I understand that if I am hired that any false, incomplete or misleading information given herein or during an interview shall result in immediate termination. I have read and agree to the above statement*
I authorize the references given on this application and during any interview to give to representatives of Kids In Action Gymnastics Academy (KIAGA) any and all information concerning my previous or current employment and any pertinent information they may have, personal or otherwise, and I release all parties from any and all liability from any damage that may result. I have read and agree to the above statement*
Electronic Signature

Clear
Kids In Action Gymnastics Academy (KIAGA) is an EQUAL OPPORTUNITY EMPLOYER and does not discriminate against applicants or employees on the basis of race, color, gender, marital status, religion, national origin, age, veteran status, disability or any other basis prohibited by local, state or federal law. No question on this application is intended for or will be used for the purpose of limiting or excusing any applicant's consideration for employment.
Date

MonthDayYear
signature date
Reminder - The three references must be sent to Kids In Action Gymnastics Academy (KIAGA) prior to be considered for an interview. Thank You!
Should be Empty:

Job Application Form

PERSONAL INFORMATION

JOB INFORMATION

EDUCATION

EMPLOYMENT EXPERIENCE - start with your present or most recent job

Additional Work Experience 1

Additional Work Experience 2

UNDERSTANDING & AGREEMENT (please read each statement carefully)