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.