APPLICATION FOR EMPLOYMENT

We consider applicants for all positions without regard to race, color, religion, sex, national origin, marital status, or veteran status, medical disability, or any other legally protected status.

Personal Information

Date of Application:
Position (s) Applied for:
Location (s) Applied for:
Downtown Madison
West Madison
First Name: Middle Initial Last Name:
Address:

City: State: Zip Code:

Permanent Address:

City:
State:
Zip Code:

Telephone Number(s):
Home: Mobile: Work:

Email Address:

Social Security Number: - -

Are You 18 Years of Age or Older?
Yes
No

Have you ever filed an application with us before?
Yes
No
If yes,
Date
Location:

Have you ever been employed with us before?
Yes
No
If yes,
Date
Location:

Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
Yes
No
Proof of citizenship or immigration status will be required upon employment.

References

Please Provide 3 References
References may not be related to you and may not be previous employers.

Reference #1
Name:
Occupation and Relationship:
Address:

Phone Number:

Reference #2
Name:
Occupation and Relationship:
Address:

Phone Number:

Reference #3
Name:
Occupation and Relationship:
Address:

Phone Number:

Education

High School
School Name:
Location:
Years Completed:
9
10
11
12
Diploma / Degree:
Describe Course of Study:

List any Special Information about education including honors, specialized training, and activities:


Undergraduate College / University
School Name:
Location:
Years Completed:
1
2
3
4
Diploma / Degree:
Describe Course of Study:

List any Special Information about education including honors, specialized training, and activities:


Graduate
School Name:
Location:
Years Completed:
1
2
3
4
Diploma / Degree:
Describe Course of Study:

List any Special Information about education including honors, specialized training, and activities:

Schedule and General Information

On what date would you be available to work?

Are you available to work:
Full Time
Part Time

Total Hours available per week:

Identify below the specific hours you are available to work each week: (Indicate a.m. / p.m.)

List any extracurricular activities which might affect your schedule:

Regarding your personality, what do you like the best about yourself?


What do you like the least about yourself?


How can you improve this company with your talents?

Employment Experience

Are you presently employed?
Yes
No

List any experience that you may have that would make you qualified to work for Fontana Sports: (Example) SCUBA certification, Downhill Ski Instructor, Customer Service, etc.


Starting with your present job or last job, and list in consecutive order, the last four previous jobs held.
Account for any time during this period that you were unemployed by stating the nature of your activities. Include any job-related military assignments and volunteer activities. You may exclude organizations which include race, color, religion, gender, national origin, handicap, or protected status:

Employer #1
Employer:
Address:

Telephone Number (s):
Job Title:
Supervisor:
Reason For Leaving:
Dates Employed:
Hourly Rate / Salary:
Total Hours Worked Weekly:
Work Performed:
(Include promotions & Achievements)

Employer #2
Employer:
Address:

Telephone Number (s):
Job Title:
Supervisor:
Reason For Leaving:
Dates Employed:
Hourly Rate / Salary:
Total Hours Worked Weekly:
Work Performed:
(Include promotions & Achievements)

Employer #3
Employer:
Address:

Telephone Number (s):
Job Title:
Supervisor:
Reason For Leaving:
Dates Employed:
Hourly Rate / Salary:
Total Hours Worked Weekly:
Work Performed:
(Include promotions & Achievements)



Employer #4
Employer:
Address:

Telephone Number (s):
Job Title:
Supervisor:
Reason For Leaving:
Dates Employed:
Hourly Rate / Salary:
Total Hours Worked Weekly:
Work Performed:
(Include promotions & Achievements)


Please Identify any other jobs, part-time or full-time you have held in the past five years:

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, including current and past employment, and education, and release from liability all persons, companies, corporations, and schools from supplying that information. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Fontana Sports is not of an "at will" nature, which means that the employee may resign at any time and the employer may discharge the employee at any time with or without cause. It is further means that the employee may resign at any time and the employer may discharge the employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. Additionally, I understand that nothing contained in the employment application or in the granting of an interview is intended to create a contract between Fontana Sports and myself for either employment or for the providing of any benefit arising form employment. In the event of employment, I understand that any falsification or omission of information given in my application interview (s) is immediate grounds for dismissal. I understand, also, that I am required to abide by all rules and regulations of Fontana Sports Specialties.

By Dating and Providing my initials below and submitting this application I agree to the above statement

Date: Initials:

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