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 deskCafeChildcareMembership salesChildcare leadGroup Fitness InstructorLocation*Scottsdale SheaApplication 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* College Trade/Business School Former 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.