Employment Application

Please fill out and submit this application for employment. Programs, services and employment are available, equally to everyone. Please inform the Human Resources Department if you require reasonable accomodation for the application or interview. Answering yes or no to any of the questions does not constitute an automatic rejection to employment. Names of references should be two individuals whom you are not related and by whom you have not been employed. 

An asterisk * indicates a required field.
How were you referred to us:
Full Name:
Address:
City:
State:
Zip:
Phone:
Mobile/Beeper/Other Phone:
E-mail Address:
Date available to start:
Social Security #:
Salary Requirement:
If you are under 18 and we require a work permit, can you furnish one?Yes  No  
If no, please explain:
Have you ever worked for this company?:Yes  No  
If yes, when?:
Are you a citizen of the United States?:Yes  No  
If not, do you have work papers?:Yes  No  
Type of employment desired:Full-time  Part Time  Temporary  Season  
Have you ever pled guilty or no contest or been convicted of a crime?:Yes  No  
If yes, give dates and details:
Driver\'s license number if applicable to position:
State:
High School:
Address:
# of Years Completed:
Did you graduate?Yes  No  
Degree:
Major:
GPA:
Class Rank:
College/University:
Address:
# of Years Completed:
Did you graduate?Yes  No  
Degree:
Major:
GPA:
Class Rank:
Other:
Address:
# of Years Completed:
Did you graduate? Yes  No  
Degree:
Major:
GPA?
Class Rank:
Reference 1-Name:
Reference 1-Phone:
Reference 1-Address:
Reference 1 -City:
Reference 1-State:
Reference 1 -Zip:
Reference 2 -Name:
Reference 2 -Phone:
Reference 2 -Address:
Reference 2 -City:
Reference 2 -State:
Reference 2 -Zip:
What makes you want to be a part of the our fitness team?:
Dates of Most Recent Employment From: mm/dd/year To: mm/dd/year :
Position(s) Held:
Firm:
Address:
Phone:
Supervisor:
Title:
Responsibilities:
Starting Salary and Title:
Ending Salary and Title:
Reason for Leaving:
May we contact this employer for a reference?Yes  No  
2nd Most Recent Dates of Employment From: mm/dd/year To: mm/dd/year :
Postition(s) Held:
Firm:
Address:
Phone:
Supervisor:
Title:
Responsibilities:
Starting Salary and Title:
Ending Salary and Title
Reason for Leaving:
May we contact this employer for a reference? Yes  No  
 
HOUSTON GYM
1501 Durham
Houston, TX 77007
(713) 880-9191
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