Defined Fitness Employment Application


Please print this form after filling it out and before you hit the submit button. If you are called for an interview, please bring the printed application with you.
Defined Fitness is an equal opportunity employer,
dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religion, marital status, sexual orientation, political belief or disability.
Federal law prohibits the employment of unauthorized aliens.  All persons hired must submit satisfactory proof of employment authorization and identity within three (3) days of being hired.  Failure to submit such proof within the required time shall result in immediate employment termination.

Date of Application: mm/dd/yyyy
How did you hear about us?: Advertisement Employee Relative Walk-in Name of Source

PERSONAL INFORMATION:
First Name
Last Name
Middle Initial
SSN Number
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Cell Phone:
Work Phone
Home Phone
FAX
E-mail

If necessary, best time to call you at home is:
May we contact you at work?
Are you 18 years of age or older?
Have you ever been bonded?
Have you ever been convicted of a Crime? If yes, please explain.

Have you ever been employed here before? If yes, give dates and location, etc.

Driver's License number:
Driver's License State:


POSITION PREFERENCES
What position(s) are you applying for? (Please list all that apply. Hold Ctrl down to select more than one.)


Preferred Location: (Please list all that apply. Hold Ctrl down to select more than one.)

Pick your favorite locations!

Desired Status: 
If Part-time, enter the amount of hours you wish to work per week.

Please list all the hours you are available between 4:30 am and 12:00 midnight each day:

Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:


Could you work overtime?  What date could you start work?mm/dd/yyyy

EDUCATION:
A. List the last three schools attended, starting with the last one. Name & location. B. List the number of years completed. C. Indicate degree/diploma earned (if any). D. Grade point average. E. major field of study (if applicable).

A.School Name B. From:        To: C: Degree/Diploma D: GPA E: Major/Minor
1.
2.
3.

PROFESSIONAL CERTIFICATIONS
List any certificates earned or in progress, and /or any additional training programs not included in your formal education.   ACE    AFAA    ACSM    Other

Are you currently CPR Certified?If yes, what is the expiration date?

List special accomplishments, publications, awards, skills, or qualifications. (Exclude information that would reveal sex, race, religion, national origin, age, color, disability, or other protected status).

PREVIOUS EMPLOYMENT
Please list your last four (4) employers, starting with the most recent. Include related internships, military or volunteer work.

Employer: Phone: Dates Employed Summarize the nature of the work performed in the job responsibilities
Address: From: To:
Job title: Starting Salary
Supervisor Name/Title: $per
Reason for leaving: Final Salary
May we contact for reference? YesNoLater $per
Employer: Phone: Dates Employed Summarize the nature of the work performed in the job responsibilities
Address: From: To:
Job title: Starting Salary
Supervisor Name/Title: $per
Reason for leaving: Final Salary
May we contact for reference? YesNoLater $per
Employer: Phone: Dates Employed Summarize the nature of the work performed in the job responsibilities
Address: From: To:
Job title: Starting Salary
Supervisor Name/Title: $per
Reason for leaving: Final Salary
May we contact for reference? YesNoLater $per

Comments: (Including any gaps in employment or any special information you would like us to consider):

RELEASES AND APPLICANT'S SIGNATURE
In connection with my application for employment and as a condition of continuing employment, I understand that investigative background inquiries may be made on me including previous employers, schools, consumer credit, criminal convictions, motor vehicle, and other reports. These reports will include information as to my character, work habits, performance, education, compensation, and experience along with reasons form termination of employment from previous employers. Furthermore, I understand that the company may be requesting information from various federal, state, and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil, and other experiences as well as claims involving me in the files of insurance companies. i authorize without reservation, any party or agency contacted to furnish the above mentioned information and release all parties involved from liability and responsibility for doing so I hereby consent to obtaining the above information from Fowler Fitness and/or any of their agents. This authorization and consent shall be valid in original, fax, or copy form. 


Initials

All hiring and employment at Fowler Fitness, Inc.  is at will. I understand this application is not an employment contract, nor can it be used to create one. Employment by Fowler Fitness, Inc. has no specific term and may be terminated by the employee or Fowler Fitness, Inc. with or without notice. I acknowledge that Fowler Fitness, Inc. has not made any promises or representations that differ from those contained in this paragraph.

I understand I must provide satisfactory documents to establish my identity and right to work in the United States, if I am offered a position with Fowler Fitness, Inc., and that failure to provide this evidence will result in the termination of my employment.

I release and agree to hold harmless any individual, company, business institution or government agency from all liability with regard to furnishing information to Fowler Fitness Inc. I agree to release and hold harmless Fowler Fitness, Inc. from all liability with respect to the receipt of such information.

I certify that the information I have furnished on this application form is true and complete. I understand that if any misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be withdrawn or my subsequent employment with Fowler Fitness, Inc. may be terminated.

                            

Applicant's Signature  Date

 

Press the "submit form" button to send your application directly to the Defined Fitness Human Resource Department.  Thank you!

 


Defined Fitness
Copyright © 1999 [Fowler Fitness, Inc.]. All rights reserved.
Revised: December 18, 2007