Employment Application

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Employment Application

  1. PERSONAL INFORMATION - Complete ALL Applicable Information
  2. First Name:*
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  3. Middle Initial
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  4. Last Name:*
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  5. Address 1:*
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  6. Address 2:
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  7. City:*
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  8. State:*
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  9. Zip:*
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  10. Phone:*
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  11. Email:*
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  13. Referred By:
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  14. Salary Desired:*
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  15. Availability Date:*
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  16. Are You Looking For:*
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  17. AM Shifts Available:*
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  18. PM Shifts Available:*
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  19. Have you ever applied to this company before?

     

  20. *
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  21. If Yes, When?
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  22. If Yes, Where?
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  23. If Yes, Were You Hired?
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  24. Are You Over 18 Years of Age?*
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  25. Are You Legally Authorized to Work in the US?

     

  26. *
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  27. In the past 10 years (7 years in CA, KS, MA, MD, NH, NY, TX and WA) have you been convicted of or pleaded guilty to a crime or offense other than a minor traffic infraction? (include deferred adjudiction, military service convictions, guilty pleas, pleas of no context or nolo contender)
  28. *
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  29. Are you presently under charges, under indictment or are you currently a defendant in any criminal proceeding?
  30. *
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  31. If Yes, please state the charge, date, and location of the indictment or pending charge below.

    Do NOT include parking tickets or convictions or guilty pleas for which a record has been sealed or expunged.

    NOTE: A conviction is not an automatic bar to employment. All circumstances will be considered including the nature of the offense, the date of the offense, the surrounding circumstances and the relevence of the offense to the position(s) applied for.

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  34. Upload Resume (optional)
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  35. Please note file restrictions: Allowed file types .doc, .docx, .pdf, .xls, .txt
  37. Education
  38. High School:
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  39. College:
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  40. Trade, Business, or Correspondence School:
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  42. Former Employers
  43. From:
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  44. To:
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  45. Employer’s Name:
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  46. Employer’s Address:
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  47. Employer’s Phone:
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  48. Position Held:
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  49. Previous Salary:
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  51. From:
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  52. To:
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  53. Employer’s Name:
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  54. Employer’s Address:
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  55. Employer’s Phone:
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  56. Position Held:
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  57. Previous Salary:
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  59. From:
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  60. To:
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  61. Employer’s Name:
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  62. Employer’s Address:
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  63. Employer’s Phone:
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  64. Position Held:
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  65. Previous Salary:
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  67. Professional References
  68. Name:
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  69. Years known:
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  70. Phone:
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  71. Occupation:
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  72. Relationship:
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  74. Name:
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  75. Years known:
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  76. Phone:
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  77. Occupation:
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  78. Relationship:
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  80. Name:
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  81. Years known:
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  82. Phone:
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  83. Occupation:
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  84. Relationship:
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  86. General Information
  87. How did you find our web site?
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  88. What are you interested in accomplishing?
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  89. Please enter comments or questions:
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  90. PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY:

    In consideration of my employment, I agree to conform to the policies and procedures of the company. I understand that in accepting this application, the company is in no way obligated to provide me with employment and that I am not obligated to accept employment if offered. Furthermore, if employed, I understand that I am employed at will and that my employment and compensation can be terminated with or without cause, and with or without notice at any time.

    I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any falsified statements on this application or omission of fact on either this application or during the pre-employment process will result in my application being rejected, or, if I am hired, in my employment being terminated.

    I also understand Platinum Fitness is an Equal Opportunity Employer that Administers all its employment policies in a nondiscriminatory manner. I specifically authorize Platinum Fitness to investigate my background, including any and all references consistent with the position for which I am applying and release and hold Platinum Fitness harmless for any and all claims, caauses of action, damages, obligations and liabilities rising out of its investigation of my application for employment.

    I understand that I need to immediately inform the Human Resources department of Platinum Fitness if I am convicted of a crime while my application is pending or during employment.

  91. I have read and agree to the above statement:

     

  92. *
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  93. Today’s Date
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