Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Phone
*
(###)
###
####
Birthday
*
MM
DD
YYYY
Driver's License Number
*
Contact Name
*
First Name
Last Name
Relationship To You
*
Emergency Contact's Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact's Phone
*
(###)
###
####
What Fitness Depot core value resonated most with you and why?
*
Applying For Position
*
Team Leader
Assistant Manager
Floor Team
Clean Team
FD Kids
Group Fitness Instructor
Personal Trainer
Location Applying To
*
McComb
Picayune
Meridian
Laurel
Columbia
Ellisville
Available Start Date
*
MM
DD
YYYY
Days of Week Available to Work
*
Check ALL that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Times Available
*
Check ALL that apply
Mornings
Afternoons
Evenings
Weekends
Most Recent Job Title/Position
*
Include brief description of job duties and responsibilities along with job title/position held at most recent job.
Who Referred You?
*
Do you have any friends or relatives who are Fitness Depot team members?
*
Yes
No
If yes, please list them here.
Have you previously applied to Fitness Depot?
*
Yes
No
If yes, when?
Do you have reliable transportation to/from work?
*
Yes
No
If applicable, are you available to work overtime?
*
Yes
No
If hired, are you able to submit proof that you are legally eligible for employment in the United States?
*
Yes
No
Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?
*
Yes
No
What reasonable accommodation, if any, would you request?
Have you ever been convicted of a felony or misdemeanor?
*
Yes
No
If yes, please list: the conviction, the date, and the location.
Have you ever received disciplinary action from a prior employer and/or a legal authority for actions or language associated with sexual harassment?
*
Yes
No
*
Typing
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Microsoft Office (Word, Excel, etc.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Answering Telephone
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Filing Paperwork
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Customer Service
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Experience Using Fitness Equipment
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Any additional skills that you feel may be useful for the job you are seeking?
Employer
*
Supervisor Name
*
Supervisor Phone
(###)
###
####
Employer Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Job Duties
*
Reason For Leaving
*
Dates of Employment
*
Employer
Supervisor Name
Supervisor Phone
(###)
###
####
Employer Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Job Duties
Reason For Leaving
Dates of Employment
Use this space for self-employment history (if applicable)
Use this space for military service history (if applicable)
High School Attended/Attending
*
Did you receive a diploma?
*
Yes
No
If no, have you obtained a GED certificate?
College/University Attended
*
Did you receive a degree?
*
Yes
No
If yes, degree(s) received?
Other Training (graduate, technical, or vocational)
Please list any current professional licenses or certifications that you hold.
Awards, Honors, and Special Achievements:
Reference One Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
*
(###)
###
####
Reference Two Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
I agree to these terms and conditions
*
Yes
Applicant Signature
*
By typing your name below, you are electronically signing this application
First Name
Last Name