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
__________________________________________________
*
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: