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*Personal trainerFront desk (must be 18+ years old)CafeChildcareGeneral managerMembership salesChildcare leadFitness directorMaintenance techAdministrativeGroup Fitness InstructorLocation*AhwatukeeArrowheadCarefreeChandlerChase FieldDesert RidgeGilbertHappy ValleyIce DenMesaParadise ValleyPeoriaQueen CreekScottsdale SheaScottsdale PavilionsSurpriseTempe - Marina HeightsApplication Date* Date Format: 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?*YesNoPosition Held?*Are You Currently Employed?*YesNoMay we contact your present employer?*YesNoCurrent Employer*Supervisor*Employer Phone*Availible Start Date* Date Format: MM slash DD slash YYYY Have you ever been terminated or asked to resign from any previous employment?*YesNoPlease Explain*Have you been convicted of a felony?*YesNoPlease Explain*Are you legally eligible for employment in the U.S.?*YesNoPlease 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.