Columbus Day News

GULF COAST ELITE GYMNASTICS APPLICATION FOR EMPLOYMENT (Please Print) Date: Name: Last First Middle Present Address: Street City State Zip Permanent Address: Street City State Zip Phone No.: Social Security No.: E-Mail Address: Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Yes No If yes, what is your Visa or Immigration Status?___________________________ EDUCATION Name of School City/State Dates Attended Degree/Diploma High School College Other EMPLOYMENT EXPERIENCE List below the last four employers, starting with the most recent. Include summer and part-time jobs. Employer Dates Employed Job Title Reason for Leaving Address Phone No. Supervisor Employer Dates Employed Job Title Reason for Leaving Address Phone No. Supervisor Employer Dates Employed Job Title Reason for Leaving Address Phone No. Supervisor Employer Dates Employed Job Title Reason for Leaving Address Phone No. Supervisor REFERENCES Give the names of three persons not related to you, whom you have known for at least one year. Full Name Occupation Phone No. Full Name Occupation Phone No. Full Name Occupation Phone No. What special skills and qualification do you have for the job for which you are applying? Why do you want to work for our company? Date Available: Salary Expected: Do you have any relatives working for our company? Yes No If yes, who? Have you ever been convicted of a felony? Yes No If yes, explain: Do you have any physical limitations that preclude you from performing certain work? Yes No If yes, what can be done to accommodate your limitation? In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. I understand that misrepresentation or omission of facts requested is cause for dismissal. I authorize the companies, schools, or persons named above to give any information regarding my employment, together with any information they may have regarding me, whether or not contained in their records. I hereby release said companies, schools, or persons from all liability for any damage whatsoever for issuing same. Signature: Date: