EMPLOYMENT APPLICATION TODAYS DATE: _____/____/_____

NAME______SOCIAL SECURITY NO. ______-_____-______

ADDRESS______CITY______STATE______ZIP______

PHONE (____) ______-______ARE YOU 18 OR OLDER? YES IF NOT, BIRTH DATE____/____/_____

AVAILABILITY

M / T / W / TH / F / S / SUN
TO
FROM

TOTAL HRS. PER WEEK ______

ARE YOU LEGALLY ABLE TO

BE EMPLOYED IN THE US? ______

HOW FAR DO YOU LIVE

DO YOU HAVE TRANSPORTATION? ______FROM THE SPORTS BARN? ______

SCHOOL REFERENCE

SCHOOL MOST RECENTLY ATTENDED ______

SCHOOL ADDRESS ______CITY______STATE______ZIP______

TEACHER/COUNSELOR ______LAST GRADE COMPLETED______

GPA______SPORTS OR ACTIVITIES ______

PREVIOUS EMPLOYMENT

1.) COMPANY______PHONE______

ADDRESS ______CITY______STATE______ZIP______

POSITION HELD ______DUTIES______

SUPERVISOR______DATES WORKED ______SALARY______

REASON FOR LEAVING______

2.) COMPANY______PHONE______

ADDRESS ______CITY______STATE______ZIP______

POSITION HELD ______DUTIES______

SUPERVISOR______DATES WORKED ______SALARY______

REASON FOR LEAVING______

3.) COMPANY______PHONE______

ADDRESS ______CITY______STATE______ZIP______

POSITION HELD ______DUTIES______

SUPERVISOR______DATES WORKED ______SALARY______

REASON FOR LEAVING______

EMPLOYMENT APPLICATION

PERSONAL REFERENCES

1.) NAME ______PHONE ______

ADDRESS ______CITY______STATE______ZIP______

2.) NAME ______PHONE ______

ADDRESS ______CITY______STATE______ZIP______

3.) NAME ______PHONE ______

ADDRESS ______CITY______STATE______ZIP______

GENERAL INFORMATION

DURING THE PAST 7 YEARS HAVE YOU EVER BEEN CONVICTED OF OR PLED GUILTY TO A CRIME, EXCLUDING MISDEMMEANORS AND TRAFFIC VIOLATIONS? ______

IF YES, PLEASE DESCRIBE ______

What additional relevant skills or training have you had other than your work experience and education? ______

______

1.  I certify that I have read and fully completed both sides of this application and that the information contained on this application is correct to the best of my knowledge and understand that any omission or erroneous information is grounds for dismissal in accordance with The Sports Barn policy. 2. I authorize the references listed on this application to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. 3. I acknowledge that The Sports Barn reserves the right to amend or modify the policies in its Handbook and other Sports Barn policies at any time, without prior notice. These policies do not create any promises or contractual obligations between The Sports Barn and its employees. At The Sports Barn, my employment is at will. That means I am free to terminate my employment at any time, for any reason, with or without cause and The Sports Barn retains the same rights.

______

Signature