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_________________

 

6525 Hiram-Douglasville

Hwy., Suite A

Douglasville, Ga 30134

770-947-5833
                                             Sculpt your body... Change your Life!

  

APPLICATION FOR EMPLOYMENT

     
            Important - read carefully before filling out your application:


    This application must be completed by the individual applying for employment.
 

    Sculptures Fitness USA, Inc. is an Equal Opportunity Employer. Federal

    and/or state law prohibit discrimination on the basis of race, color, creed,

    religion, sex, national origin, age, disability or any other protected status.

    Federal law, however, prohibits the employment of any person who does

    not have the legal right to work in the United States.

    Screening for illegal drug use and a criminal background check may be

    required as a condition of employment.


     * Required Field

   __________________________________________________  

   Applicant Information 

 

     * First Name:        Middle Init.: 

     * Last Name:    

      * Address:    

     * City:    

     * State:   

     * Zip:   

 

     * Home Phone:  

     * Cell Phone:  

 

     * Email   


     * Are you over 18 years old?:  Yes  No

 

  __________________________________________________  

   

   Position & Schedule Preferences
 

     * Position Applying For:      

     * Indicate your preferred work schedule:   

     * Are you available to work weekends?:  Yes  No

     * Please indicate the shift you would prefer:    

 

  __________________________________________________  

 

   Background Information
 

     * Have you previously interviewed or applied at Sculptures?:  Yes  No

     * Have you previously worked at Sculptures?:  Yes  No

     * How were you referred to Sculptures?:  

 

    * Have you within the last ten (10) years been convicted of a criminal offense 

      other than a misdemeanor or traffic offense?    Yes  No
 

      If so, what was the offense and conviction?:  

      
     (Note: A conviction record will not necessarily bar applicant from employment)

    * If hired, can you provide proof of a legal right to work in the United States?
               Yes  No

   __________________________________________________  

 

   Education

 

                             School Name             Dates From/to            Diploma

    * High School -                       Yes  No

      College -                             Yes  No

      Other School -                     Yes  No

 

  __________________________________________________  

 

   Technical Skills & Certification

   

     Please select all that apply

           Typing                     Word Processing

           Telemarketing          Computer Systems

           Sales                      Fitness Background

 

     If applying as a personal trainer, indicate certifying organization and

     expiration date:  
 

     If CPR certified, indicate certification expiration date:  
 

 __________________________________________________  

 

   Employment History

 
     Please list previous employers, most recent first. Include all types of positions

     (e.g. self-employment, summer or volunteer work).

 

     * Recent Previous Employer:      * City:  

     * State:        * Zip:   

   

     * Title Held:     

     * Dates From/to:    

     * Reason for leaving:          

     * Immediate Supervisor :    

     * Supervisor's Phone    

     * May we contact for reference?:  Yes  No

 

     * Summarize the nature of work and job responsibilities?:  

      

 

    

       Previous Employer:        City:    

       State:          Zip:   

   

       Title Held:     

       Dates From/to:    

       Reason for leaving:          

       Immediate Supervisor :    

       Supervisor's Phone    

       May we contact for reference?:  Yes  No

 

       Summarize the nature of work and job responsibilities?:  

      

 

__________________________________________________  

 

   Military Data


      Branch of Service:       Dates From/to: 

      MOS:  

       Special Training:  

      Initial Rank:              Final Rank: 

    

 

__________________________________________________  

 

   Professional/Business References

 

     * 1st Reference Name:     

     * Name of Business:     

     * Title:           

     * Relationship:   

     * Phone:   

 

     * 2nd Reference Name:     

     * Name of Business:     

     * Title:           

     * Relationship:    

     * Phone:   

 

__________________________________________________  

 

   Verification of Information & Reference Release

 
     To complete the online application process, you will need to read

     and accept the following:

 

     I hereby affirm that all the information provided in this application is true and

     accurate to the best of my knowledge and understand that any deliberate 

     falsifications, misrepresentations, or omissions of fact may be grounds for

     rejection of my application or dismissal from subsequent employment.

 

     I am applying for a position at Sculptures Fitness and I understand that for

     Sculptures Fitness to make a careful and knowledgeable decision regarding

     my hiring, they may contact my current and former employers. I, therefore,

     consent to and authorize Sculptures Fitness to conduct a complete

     investigation of my employment record. I understand that this will include a

     reference check with some or all of the employers whom I have identified on

     my job application/resume, as well as to verify the fact that I have provided 

     complete and accurate information. I do hereby release all previous employers,

     schools attended and Sculptures Fitness from all liability in regard to

     transmission of reference information.

     Please note that the electronic submission of this employment application is

     deemed to be your legal verification of the submitted information.
 

 

            I have read and agree to the statements above.

     Before pressing the submit application button, please print a copy of this

     application for your records.
 

 

 

                                                        

© 2005 Sculptures Fitness USA, Inc.