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Employment Application

The following online application must be completed IN FULL. IMPORTANT: Enter “N/A” if a field is not applicable to you. If an entry is missed, the form will re-direct you back to the top and any required missing fields will be marked in red.

Form

PERSONAL INFORMATION

First Name

Last Name

Date Of Birth

Email Address

Mailing Address

Home Number

Mobile Phone

Are you 18 years of age or older?

Yes No

Are you a citizen of the USA or have a legal right to work in the U.S.?

Yes No (employment subject to I-9 form)

Have you ever been convicted of anything other than a traffic violation

Yes No

Have you ever worked at GCA?

Yes No

Positions / Departments you are applying for:

Pay Range Expected

How did you learn about us

Availability

Full Time Part Time Summer Only Other

Date Available to start work?

When are you available for work? (Times)

I can be flexible with my schedule I can't be flexible with my schedule

At GCA, teaching physical education skills to children or generally supervising children in a physical environment sometimes requires quick or unexpected movements including lifting or catching ('spotting') children weighing up to 150 lbs. or more. Additionally, teaching positions also often require lifting and adjusting heavy sports apparatus. Administrative job positions may require loading/unloading heavy boxes and heavy equipment weighing as much as 100 lbs. or more. Please indicate below if you have any current or past conditions which might keep you from safely peforming the physical requirements of the position(s) for which you are applying.

Yes, I am able to perform the physical requirements of the position(s) for which I applied without jeopardizing my safety or the safety of GCA students, clients, guests, coworkers or others.

Education
High School

Name & Location of High School

Graduated?

Yes No

Years Completed?

1 2 3 4

College/Other

Name & Location of College/Other

Graduated?

Yes No

Years Completed?

1 2 3 4

Describe honors, apprenticeships, post graduate education, or specialized training

EMPLOYMENT HISTORY (IF ANY)

Most Recent Employment History

Company Address

Name of Immediate Supervisor

Company Phone Number

I am no longer employed at this company I am currently employed at this company and it is OK to contact this person I am currently employed at this company, please do not contact this person

Start Wage

Final Wage

Start Date

End Date

Job Title or Position

Describe your duties and responsibilities

Reason for leaving?

Professional References (at least 2)

UNDERSTANDING AND AGREEMENT

I certify that the statements given on this application or during an interview are true and complete and I authorize investigation of same with exception of contacting my current employer if I have so requested in this document.