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Name
(Required)
First
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Last
Email
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Phone
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Location Applying For
(Required)
Wichita Sports Forum
Stryker Sports Complex
Social Media Handles
Address
(Required)
Street Address
Address Line 2
City
State
ZIP / Postal Code
GENERAL INFORMATION
Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation?
(Required)
Yes
No
Are you age 16 or older?
(Required)
Yes
No
Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.)
(Required)
Yes
No
If yes, explain:
(Required)
EDUCATION & TRAINING:
Last grade completed:
List
High School, College, University etc.
Address
Major
Graduated(y/n)
Average Grade
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List any scholarships, academic honors, awards or special achievements:
SKILLS
Please list any skills you have that are appropriate for the position you are applying for:
If required, will you work? ( check for yes)
Rotating Shifts
Overtime
Saturdays
Sundays
Position applying for, be specific:
Salary Requirement
Salary Frequency
per hour
per month
State fully why you believe you are qualified for this position:
INTERESTS/ ACCOMPLISHMENTS: You may wish to list significant experience, interest & accomplishments gained while working as a volunteer or as a hobbyist that may be useful in the position(s) you are seeking. Names or organizations designating religion, race, etc. need not be mentioned.
EMPLOYMENT HISTORY
Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT for at least the past THREE employers. If currently employed, may we contact your employer?
Yes
No
Employer 1
FULL NAME OF COMPANY
Phone
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Name of Supervisor
Title of Supervisor
Title of your position
LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED, & PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:
Salary at beginning of employment
Salary at end of employment
Reason for leaving
Employer 2
FULL NAME OF COMPANY
Phone
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Name of Supervisor
Title of Supervisor
Title of your position
LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED, & PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:
Salary at beginning of employment
Salary at end of employment
Reason for leaving
Employer 3
FULL NAME OF COMPANY
Phone
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Name of Supervisor
Title of Supervisor
Title of your position
LIST JOBS HELD, DUTIES PERFORMED, SKILLS USED, & PROMOTIONS WHILE EMPLOYED AT THIS COMPANY:
Salary at beginning of employment
Salary at end of employment
Reason for leaving
REFERENCES
PLEASE LIST THREE PERSONAL REFERENCES WHO ARE NOT RELATIVES OR FORMER SUPERVISORS
List
Name
Address
Phone
Occupation
Years Known
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Remove
READ CAREFULLY
: I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
Electronic Signature
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