Employment Application
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Name *
Phone # *
Email Address *
How did you hear about us? *
Which Departments are you interested in? (please mark all that you would be interested in) *
Required
Work Availability-Monday *
Work Availability-Tuesday

*
Work Availability-Wednesday

*
Work Availability-Thursday

*
Work Availability-Friday

*
Work Availability-Saturday

*
Availability notes
Certifications (will need to be CPR, First Aid and USAG member once hired) *
Yes
No
CPR
First Aid
USAG Member
Work History
Please summarize your work experience (any coaching experience list here)
Reference 1: Professional (Name and relationship) *
Reference 1: Professional (Phone #) *
Reference 1: Professional (Email) *
Reference 2: Personal (Name and relationship) *
Reference 2: Personal (Phone #) *
Reference 2: Personal (Email) *
Desired Rate of Pay *
How many hours do you want to work per week *
What is your first date of availability *
MM
/
DD
/
YYYY
Is there any additional comments or information your feel is important for us to know about you? (You can also email your resume to tempe@goldmedalgym.com)
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