Job Application

    * = Required

    Full Name

    Address

    State*

    If less then 2 years, previous address:

    State

    Date Available to work?

    Are you willing to work any shift, including evenings and weekends?*YesNo

    Are you a citizen of the United States?*YesNo

    If no, are you authorized to work in the U.S.?YesNo

    Have you ever been convicted of a felony?* YesNo

    Education

    From

    To

    Did you graduate?YesNo

    When?

    From

    To

    Did you graduate?YesNo

    When?

    From

    To

    Did you graduate?YesNo

    When?

    Certifications

    Do you currently have a Personal Trainer Certification?YesNo

    If yes:

    Certificate Expiration

     

    Do you currently have any Group Exercise/Aerobics Certifications?YesNo

    If yes:

    References

    References 1

    Please list three professional references

    References 2

    References 3

    Previous Employment

    Job 1

    From

    To

     

    May we contact your previous supervisor for a reference?YesNo

    Job 2

    From

    To

     

    May we contact your previous supervisor for a reference?YesNo

    Job 3

    From

    To

     

    May we contact your previous supervisor for a reference?YesNo

    Terms

    It is the policy of The House That Ruth Built, Inc. dba The Energy Lab to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

    CERTIFICATION

    I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

    I authorize The House That Ruth Built, Inc. dba The Energy Lab to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

    If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of The House That Ruth Built, Inc. dba The Energy Lab, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.