Employment Application Step 1 of 3 - General Information 33% Name* First Last Address* Street Address Address Line 2 City ZIP Code Phone*Email Address* Position Applying For*Select PositionPersonal TrainerFront Desk AttendantChildcare AttendantMembership SalesGroup Fitness InstructorChildcare ManagerFitness Manager (Personal Training)Maintenance TechEquipment Maintenance TechGeneral ManagerLocation*Select LocationAhwatukeeArrowheadAvondaleCadenceCarefreeChandlerChase FieldDesert RidgeExecutive Club/Old Town ScottsdaleFrank Lloyd WrightGilbertHappy ValleyIce DenMesaParadise ValleyPeoriaQueen CreekScottsdale SheaScottsdale PavilionsSurpriseTempe - Marina HeightsApplication Date* MM slash DD slash YYYY Hours/Days Available*Number of Hours Desired* How Did You Learn About Us?*Referred By?*Prior employment with Mountainside or Fit Republic?* Yes No Position Held?*Are You Currently Employed?* Yes No May we contact your present employer?* Yes No Current Employer*Supervisor*Employer Phone*Availible Start Date* MM slash DD slash YYYY Have you ever been terminated or asked to resign from any previous employment?* Yes No Please Explain*Have you been convicted of a felony?* Yes No Please Explain*Are you legally eligible for employment in the U.S.?* Yes No Please Explain* High School*CollegeTrade/Business SchoolFormer Employers*DateName & Phone #Position & SalaryReason for Leaving Personal References (do not use family)*NameAddressPhone #Relation *Applications are kept on file for 30 days from the date the application is signed. *Certifications and Release: I certify that I have read and understand the application and my answers and Statements in regard to the questions are accurate, truthful and complete to the best of my knowledge and belief. I understand that any false information may result in charge at any time during my employment.