Rock Fitness Job Application Form

Rock Fitness Employment Application
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number

Area CodePhone Number
Position You're Applying for*
First Available Starting Date

MonthDayYear
Are You Over 18 Years Old?

YesNo
Are you legally eligable to work in the United States?

YesNo
What is your climbing experience- indoor and/or outdoor
What skills do you have that are applicable to a customer service position?
Upload Resume *Please ensure it is in PDF formatting*

Upload a File

Cancelof

Professional References

List Relevant Professional References Below
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Teacher, Manager, Etc.
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Teacher, Manager, Etc.

Employment History

Previous Employment or Relevant Volunteer Work
Name of Employer
Taco Bell, Kohls, etc
Job Title
Job Position
Manager Name

First NameLast Name
Phone Number

Area CodePhone Number
Start Date

MonthDayYear
Began Employment
End Date

MonthDayYear
Ended Employment
What Job Duties Did You Perform?
Reason For Leaving
Name of Employer
Taco Bell, Kohls, etc
Job Title
Job Position
Manager Name

First NameLast Name
Start Date

MonthDayYear
Began Employment
End Date

MonthDayYear
Ended Employment
What Job Duties did You Perform?
Reason For Leaving

By Signing below I have been informed that Rock Fitness would like to do a background check for employment purposes. I understand that a prior criminal conviction will not necessarily make me ineligible for employment and the results of my background check will be kept confidential and will not be discussed with me.
Signature*
I understand Rock Fitness is a drug free workplace and prior to my employment I will be required to do a pre-employment drug screening at the expensive of Rock Fitness.
Signature*

Clear
I certify all information on this page and all attached pages is true, correct and complete to the best of my knowledge and contains no willful falsification or misrepresentation.
Signature

Clear
Should be Empty: