Date: ______________________ Season: ______________________ Age Level Preference: ______________________
APPLICATION
FOR EMPLOYMENT
Education
& Skills:
Name:
Position
applied for:
Social
Security No. Availability
Date:
Address:
Street or Box No. City State Zip
Code
Phone: Home Work
Email:
________________________________________
Are you: Over 18 Over 21 (Some
positions have minimum age requirements.)
Are you a U.S. Citizen? Yes No If no, do you have a work authorization
number? Yes No
Have you applied
for employment with this firm in the past? Yes No
Please list any
SRU players or SRU board members you are related to:
_________________________________________
Education
& Skills:
Education: (Highest Grade completed) List any EDUCATION or TRAINING
(College Degrees, Vocational, or Military
Certifications, etc.)
Coaching
certifications you currently hold: (Please attach copies of all valid or
current certifications)
ASEP
Certification(American Sport Education Progarm) [ ] Yes [
] No
If
needed, do you have: Driver's
License
First Aid Certification_________ CPR Certification________
WORK HISTORY:
Describe your most important jobs within the last ten years, beginning with the most recent.
A
) Name of Employer: City / State:
Job Title: Start Date: End Date:
Complete List of Job
Duties / Responsibilities:
B
) Name of Employer: City / State:
Job Title: Start Date: End Date:
Complete List of Job
Duties / Responsibilities:
C
) Name of Employer: City / State:
Job Title: Start Date: End Date:
Complete List of Job
Duties / Responsibilities:
D)
Summary of
other work experiences not listed above:
Prior
Events:
Have you ever been discharged from a
coaching position before? [ ] Yes
[ ] No
Have you ever been convicted of any
violation of law, except minor traffic violations? [ ] Yes [ ] No (If yes, explain)
___________________________________________________________________________________________________
REFERENCES:
Name Address City
/ State / Zip Code Phone No.
If I am retained to fill
this position, I understand I will have to complete any certifications needed
to fulfill the requirements of a certified coach. If I do not complete said training, it will be cause for
dismissal.
Signed
I declare the information
provided by me in this application is true, correct and complete to the best of
my knowledge. I understand that if
hired, any falsification, misstatement, or omission of fact in connection with
my application, whether on this document or not, may result in the immediate
termination of my employment. I
authorize this employer to verify any and all information provided above.