Sports Endeavors, Inc.

Application for Employment

Application Information

Date of Application:
Position(s) Applied for:
Referred by:
Newspaper Ad
Employment Security Commission
Employee, specify
Employment Agency, specify
Other, specify

Personal Data

Name:
Social Security #:
Former Name or other Names Used:

Home Telephone #:
Business Telephone #:
Mobile Telephone #:

Present Street Address:
City:
State:
Zip:
Email Address:

Employment Particulars

Date available for work: (mm/dd/yyyy)
Type of Employement:
Full-Time
Part-Time
Temporary

Are you able to perform the essential functions of the job for which you have applied? Yes No

Work Experience List the last five positions you have held beginning with the most recent, or all the positions held for the past five years. Accuracy of dates and addresses is essential. This section must be completed. A resume may be included but may not be used in lieu of completing this section.

Present or Last Employer

Company Name:
Position
Address
City
State
Zip

From Date:
To Date:
Starting Salary
Final Salary
Supervisor's Name:
Supervisor's Title:
Telephone:
May we contact employer? Yes No

Description of Work:
Reason for Leaving:

Previous Employer

Company Name:
Position
Address
City
State
Zip

From Date:
To Date:
Starting Salary
Final Salary
Supervisor's Name:
Supervisor's Title:
Telephone:

Description of Work:
Reason for Leaving:

Previous Employer

Company Name:
Position
Address
City
State
Zip

From Date:
To Date:
Starting Salary
Final Salary
Supervisor's Name:
Supervisor's Title:
Telephone:

Description of Work:
Reason for Leaving:

Previous Employer

Company Name:
Position
Address
City
State
Zip

From Date:
To Date:
Starting Salary
Final Salary
Supervisor's Name:
Supervisor's Title:
Telephone:

Description of Work:
Reason for Leaving:

Previous Employer

Company Name:
Position
Address
City
State
Zip

From Date:
To Date:
Starting Salary
Final Salary
Supervisor's Name:
Supervisor's Title:
Telephone:

Description of Work:
Reason for Leaving:

Do you have any commitments to another employer or organization that might affect your employment with us?
Yes No

Please include any other information you think would be helpful to us in considering you for employment, such as additional work experience and accomplishments:

Educational Data

High School

Name of School:
Address of School:
City
State
Zip

Highest Grade Completed:

Did You Graduate? Yes No
Grade Point Average:

College (Undergrad.)

Name of School:
Address of School:
City
State
Zip

Field of Study:
Highest Grade Completed:

Did You Graduate? Yes No
Type of Degree Rcvd. (AAS, BS, etc.):

Grade Point Average:

College (Graduate)

Name of School:
Address of School:
City
State
Zip

Field of Study:
Highest Grade Completed:

Did You Graduate? Yes No
Type of Degree Rcvd. (AAS, BS, etc.):

Grade Point Average:

Business or Trade

Name of School:
Address of School:
City
State
Zip

Field of Study:
Highest Grade Completed:

Did You Graduate? Yes No
Type of Degree Rcvd. (AAS, BS, etc.):

Grade Point Average:

Other

Name of School:
Address of School:
City
State
Zip

Field of Study:
Highest Grade Completed:

Did You Graduate? Yes No
Type of Degree Rcvd. (AAS, BS, etc.):

Grade Point Average:

Memberships/Activities/Sports Please list memberships in professional or trade associations, other activities and sports that you play (or played in past) that may compliment the position applied for:

U.S. Military Service

Service Date From:
Service Date To:

Branch:
Vietnam Veteran: Yes No

Describe Significant Duties Performed:

Special Skills (i.e. word processing, software, 10 key data entry, foreign languages, including how you would rate your fluency in that language)

Technical Skills: (i.e. hardware, operating systems, programming languages, etc.)

Please explain why you are interested in working for Sports Endeavors, Inc.

Professional References (include only business contacts.)

Reference 1

Name and Title:
Years Known:
Telephone #: (include area code)

Company:

Street:
City:
State:
Zip:

Reference 2

Name and Title:
Years Known:
Telephone #: (include area code)

Company:

Street:
City:
State:
Zip:

Reference 3

Name and Title:
Years Known:
Telephone #: (include area code)

Company:

Street:
City:
State:
Zip:

Applicant's Certification and Agreement (Please read carefully before signing.)

The information that I have provided on this application is complete and accurate to the best of my knowledge and subject to validation by Sports Endeavors, Inc. (SEI). I understand that any misleading or incorrect statements or omissions may result in my not being employed or if I am employed, may be the cause for immediate dismissal at any time during my employment.

I authorize all persons, schools, employers and other organizations to provide SEI with any relevant information that may be required to arrive at an employment decision.

I hereby release these individuals, employers and SEI from all liability for any damage incurred in furnishing such information.

I further consent to a criminal background check to be performed.

In consideration of my eventual employment with SEI, I agree to conform to the rules and regulations of SEI. I understand that my employment, compensation and benefits can be terminated, with or without cause, and with or without notice, at any time, at the option of the company and similarly I am free to resign at anytime.

Applicant's Signature: (enter full name as signature)
Date