Employment - The Coliseum Sports Complex

Applicant Information

Date

Name:(Required)

First Middle Last

Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone:(Required)

Email:(Required)

Date Available:(Required)

Desired Hr Rate:

Position Applying for:(Required)

Are you a citizen of the United States?(Required)

Yes

If no, are you authorized to work in the United States?(Required)

Yes

Have you ever been convicted of a felony?(Required)

Yes

If yes, please explain:

Education

High School:

Address:

From:

To:

Did you graduate?

Yes

Type of Degree:

College:

Address:

From:

To:

Did you graduate?

Yes

Type of Degree:

Other:

Address:

To:

From:

Did you graduate?

Yes

Type of Degree:

References

Please list 3 professional references

Name:(Required)

First Last

Relationship:

Company:

Address:

Phone:

Email:

Name:(Required)

First Last

Relationship:

Company:

Address:

Phone:

Email:

Name:(Required)

First Last

Relationship:

Company:

Address:

Phone:

Email:

Previous Employment

Company:

Supervisor:

Phone:

Address:

Starting Salary:

Ending Salary:

Start Date:

End Date:

May we contact your previous supervisor?

Yes

Reason for leaving:

Company:

Supervisor:

Phone:

Address:

Starting Salary:

Ending Salary:

Start Date:

End Date:

May we contact your previous supervisor?

Yes

Reason for leaving:

DISCLAIMER AND SIGNATURE:

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Date

Signature(Required)

BACKGROUND CHECK AUTHORIZATION:

The information contained in this application is correct to the best of my knowledge. I hereby authorize The Coliseum Sports Complex and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigate consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/investigate consumer report may include, but is not limited to the following areas: verification of social security number, credit reports, current and previous residences, employment history, education background, character references, drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdiction, driving records, birth records, and any other public records. I further authorize any individual, company, firm, corporation, or public agency may have to include information or data received from other sources. The Coliseum Sports Complex and its designated agents and representatives shall maintain all information received from the authorization in a confidential manner in order to protect the applicant's personal information, included but not limited to, addresses, social security numbers, and dates of birth.

Date

Signature(Required)

HAVE YOU EVER BEEN CONVICTED OF A CRIME OTHER THAN A MINOR TRAFFIC VIOLATION?

Yes

If yes, please explain in detail:

Date

Signature(Required)

Employment Application

Applicant Information

Education

References

Previous Employment

DISCLAIMER AND SIGNATURE:

BACKGROUND CHECK AUTHORIZATION: