Apply Personal Information Full legal name Preferred name Date of birth Age U.S. Citizen? Yes No Email Current address How long have you lived there? Previous address How long have you lived there? Cell phone Other phone Marital status (optional) Do you have health insurance: Yes No Place of Birth (city/state/country): What is your highest level of education? Any degrees? Yes No If yes, what is your degree(s) in? Emergency Contact Name Relationship to you Home/cell phone Work phone Work Preferences Position desired Are you willing to work special events on the weekends & evenings: Yes No Days available to work Monday Tuesday Wednesday Thursday Friday Saturday Sunday How many hours would you like to work per week? Desired pay (per hour) When can you start? Do you know any employees at GASG? Yes No If so, who? If you were referred by someone, place their name here Employment History Employer 1 Employer Title Duties May we contact this employer? Yes No Ask First Employer 2 Employer Title Duties May we contact this employer? Yes No Ask First Employer 3 Employer Title Duties May we contact this employer? Yes No Ask First Have you ever worked with children before? Yes No If yes, please explain Do you have any recreational or competitive coaching experience? Yes No If yes, please explain & include levels or type of events Any continuing education or training for gymnastics, cheer, or ninja? Yes No If yes, please explain CPR/First Aid certified? Yes No If yes, please provide the expiration date Any office, front desk, or customer service experience? Yes No If yes, please list skills/duties Why do you want to work for GASG? Why are you looking for new employment? If yes, please list skills/duties Employment History Have you ever been convicted of a sex or molestation felony? Yes No If yes, please explain Have you ever been convicted of a felony? Yes No If yes, please explain Are you on Probation or Parole? Yes No Any crimes involving children? Yes No If yes, please explain If you have children, have they ever been reported to or removed by DFCS from the home? Yes No If yes, please explain References Reference 1 Name Phone number Reference 2 Name Phone number Reference 3 Name Phone number Additional information to help us get to know you Send