Employment Application Date* MM slash DD slash YYYY Name* First Last Date Of Birth* MM slash DD slash YYYY Position Applying For:*How did you hear about this job?*Experience, If Any, Teaching Gymnastics, Cheerleading, or Working With Children:*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Social Security #*Driver's License # and State*Have you ever been convicted of a misdemeanor, gross misdemeanor, or a felony?* Yes No If you answered "Yes" above, please explain:What hours are you willing to work?*Would you be able to work weekends?* Yes No When would you be able to start?*At Will Employment Statement:* I have read and agree to the following: At Young's Gym, we believe in building strong relationships. However, despite the best intentions, sometimes business relationships do not work out and that is why all employment at Young's Gym is "AT WILL" which means that either party, the employee or the Company, can terminate employment at any time, with or without notice and with or without reason.Authorization For Background Checks:* I have read and agree to the following: Young's Gyms’ number one concern is to provide a safe and happy environment for its students. To that end, please know that Young's Gym reserves the right to perform background checks on employees. I understand and agree that the Company may administer background checks on me and that initial and continued employment may be conditional upon the results of these checks.Equal Opportunity Employer* I have read and agree to the following: Young's Gym is an EQUAL OPPORTUNITY EMPLOYER and does not discriminate against applicants or employees on the basis of race, color, gender, marital status, religion, national origin, age, veteran status, disability or any other basis prohibited by local, state or federal law. No question on this application is intended for nor will be used for the purpose of limiting or excusing any applicant’s consideration for employment.Present or Most Recent Employer:*Dates of Employment:*Employer or Supervisor's Full Name*Contact # Of Supervisor:Reasons For Leaving:*Please list other Employment History:*Please include Employer's name, your position, dates of employment, your supervisor's name and a contact phone to speak with supervisor for reference.Authorization to Contact References* I have read and agree to the following: I authorize the references given on this application and during any interview to give to representatives of Young's Gym any and all information concerning my previous or current employment and any pertinent information they may have, personal or otherwise, and I release all parties from any and all liability from any damage that may result.Certification of Truth:* I have read and certify the following: I certify that the statements given on this application or during an interview are true and complete to the best of my knowledge and I authorize investigation of same. If I am employed, I understand that any false statements on this electronic application shall be considered sufficient cause for dismissal. I hereby authorize Young's Gym to investigate any aspect of my prior employment history.90 Day Probationary Period:* I have read and agree to the following: I understand that if I am hired my continued employment is contingent upon my successful performance during a new hire period of 90 days.