Employment Application

Personal Data:
Name
First Last
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Number
Mobile Phone
Are you 18 years of age or older?
- Yes
- No
Date of Birth (only enter if under 18)*
Date Format: MM slash DD slash YYYY
Are you a citizen of the USA of 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 Leaps & Bounds Sports Center?
- Yes
- No
Positions / Departments you are applying for:
Pay range expected:
How did you learn about us?

Availability
Availability
- Full Time
- Part Time
- Summer Only
Date you are available to start work?
Date Format: MM slash DD slash YYYY
When are you available to work?
Please list the first day of the week that you are available to work. In the 2nd column, input the time period that you can work. If you need to add additional days, use the "+" button to the right of the time column. (for example, "Monday -- 8:00 AM - 5:00 PM)
Day of the Week Time that you are Available
Flexibility in your schedule
- I can be flexible with my schedule
- I can't be flexible with my schedule
At Leaps & Bounds Sports Center, 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. Job positions in the cafe and store require loading/uploading and Maneuvering ladders and 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 Leaps and Bounds Sports Center's students, clients, guests, coworkers or others.

Most Recent Employment History
Company Name
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone
Name of Immediate Supervisor
- 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
Date Format: MM slash DD slash YYYY
Final Date
Date Format: MM slash DD slash YYYY
Reason for leaving?
Job title or position
Describe your duties and responsibilities
Do you have more previous jobs to include?*
- Yes
- No

Prior Employment History
Company Name
Company Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone
Name of Immediate Supervisor
- 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
Date Format: MM slash DD slash YYYY
Final Date
Date Format: MM slash DD slash YYYY
Reason for leaving?
Job title or position
Describe your duties and responsibilities

Other Accomplishments
(school, job, awards, distinction, certifications, volunteer work)

Understanding & Agreement
Please read each statement carefully
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. I have read and agree to the above statement.
I understand that if I am hired that any false, incomplete or misleading information given herein or during an interview shall result in immediate termination. I have read and agree to the above statement.
I authorize the references given on this application and during any interview to give to representatives of Leaps & Bounds Sports Center any and all information concerning my previous or current employment and any pertinent information they may have, personal or otherwise, and I release all parties from any and all liability from any damage that may result. I have read and agree to the above statement. Initial here:
I understand that if I am hired my continued employment is contingent upon my successful performance during a new hire period of 90 days. I have read and agree to the above statement.
I understand that if I am hired my ongoing employment will be AT WILL meaning employment may be terminated by either party at any time with or without reason and with or without notice. I further understand that this AT WILL agreement cannot be changed in any way except through a written understanding signed by the Company President. I have read and agree to the above statement.
Electronic Signature
Please Type your name
Leaps & Bounds Sports Center is an EQUAL OPPORTUNITY EMPLOYER and does not discriminate against applicants or employees on the basis of race, color, gender, marital status, religion, national origin, age, veteran status, disability or any other basis prohibited by local, state or federal law. No question on this application is intended for or will be used for the purpose of limiting or excusing any applicant’s consideration for employment.

Authorization for Background Checks
Leaps & Bounds number one concern is to provide a safe and happy environment for its students. Please know, Kids First performs background checks on all employees.

I understand and agree that the Company will administer background checks on me and my initial and continued employment is conditional upon the results of these checks.
Electronic Signature
Please type your name

Step 1 of 9

Personal Data:

Availability

Educational Data

High School

College / Other

Most Recent Employment History

Prior Employment History

Other Accomplishments

Understanding & Agreement

Authorization for Background Checks

Lastly, Please Tell Us About Yourself

Day of the Week	Time that you are Available