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Employment Application
Marshalltown Softball Association Employment Application
*
Name:
*
Address:
*
City/State/Zip:
Email:
*
Phone Number:
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Birthdate:
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Position for which you are applying:
Wage/Salary Desired ($ per hour):
Days and Hours for which you are available to work:
Identify your relevant skills or training or equipment you can operate:
List the names of any friends/relatives currently working for MSA and your relationship to them:
References - at least 3 non-family references required
Reference 1 Name:
Address:
Phone Number:
Relationship to you:
Occupation:
Reference 2 Name:
Address:
Phone Number:
Relationship to you:
Occupation:
Reference 3 Name:
Address:
Phone Number:
Relationship to you:
Occupation:
Employment History
List positions held, starting with the most recent
May we contact your current employer?:
Yes
No
Employer Name:
Address:
Phone Number:
Dates of Employment (ex. 08/2014-02/2016):
Job Title:
Supervisor:
Reason for leaving:
Duties:
Salary:
Employer Name:
Address:
Phone Number:
Dates of Employment (ex. 08/2014-02/2016):
Job Title:
Supervisor:
Reason for leaving:
Duties:
Salary:
Legal
*
If hired, can you provide verification of your legal right to work?:
Yes
No
*
Have you ever been convicted of a crime?:
Yes
No
If yes, please state the type of crime and the circumstances including date of conviction or plea and the penalty, if any given by the court:
*
In the last ten years, have you ever been discharged or suspended from employment for disciplinary reason or have you been asked to resign?:
Yes
No
If yes, please explain:
Note: answering 'yes' to any of these questions may not disqualify you from the position you desire. Each action and explanation will be considered in relationship to the position for which you are applying.
Statement of Applicant
In the Marshalltown Softball Association's effort to attract the highest quality staff, I understand that as part of the application process for employment, an inquiry will be made concerning my prior employment. I fully consent to and authorize such inquiries.
In the event of my employment by the Marshalltown Softball Association, I will comply with all policies set forth by the organization. Additionally, I authorize the Marshalltown Softball Association to request my employment record from any former employer(s).
I certify that all statements by me on this application are true and complete to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I understand and agree that any misrepresentation or omission of facts would exclude my being considered for employment, or after employment, would be cause for termination of employment with the Marshalltown Softball Association.
I understand and agree that if I am employed, there is no contract period for employment, and my employment would be solely "employment at will", giving either me or the Marshalltown Softball Association the right to terminate my employment at any time without liability or obligation, except for my regular pay through date of termination.
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THE ABOVE STATEMENTS AND THAT I VOLUNTARILY SIGN THIS EMPLOYMENT APPLICATION
Click the checkbox to indicate compliance with the above statement
*
*
Enter your name to sign:
*
Date of signature:
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* indicates required fields