Position Applying For:  Front Desk Nursery Staff Fitness Technician Aerobics Instructor Water Aerobics Instructor Yoga/Pilates Instructor Spinning Instructor Lifeguard Membership Maintenance/Janitorial Bar/Lounge Staff

Name:

Street Address:

City, State, Zip:

Day Phone:             Evening Phone:  

Are you over 18 Years of Age?:  Yes No

Have you ever applied to this company before?: Yes No   
If so, When?:

Present Occupation:
Firm:
Supervisor:
Address:
Phone:

Dates of Employment:    through

Reason for Leaving:

List two References; please include their phone numbers (no relatives, please):

1.
Phone:

2.
Phone:

Experience as it relates to position applying for:

Hours Available to Work:

Weekdays:

Weekends: