Name |
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Phone Number (Home) |
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Phone Number (Work) |
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Age |
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Address |
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City |
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State |
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Zip Code |
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Email Address |
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Education: (complete below or attach resume)
List all degree(s) and the school(s) you received them from: |
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List all certifications you have received that relate to health or fitness: |
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| Hours available to work: |
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MONDAY |
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TUESDAY |
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WEDNESDAY |
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THURSDAY |
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FRIDAY |
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SATURDAY |
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Personal Health and Fitness Experience: |
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| What is the minimum number of hours per week you are willing to work? |
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| What is the maximum number of hours per week you are looking to work? |
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| How often do you workout and what do your workouts consist of? |
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| List any courses you have taken in the area of exercise, nutrition, fitness, etc. (if your degree is not in a related field): |
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| List any practical experience you have had in sports or fitness: |
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| How do you best define Physical Fitness? |
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| Have you ever been convicted of a felony? |
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Practical Applications: |
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| Name Four Exercises Specifically for the Triceps: |
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| Name Four Exercises Specifically for the Deltoids: |
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Past Employment History - List your last 4 places of employment: (Complete below or email resume) |
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1. Provide employer, phone, job description, dates of employment |
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| 2. Provide employer, phone, job description, dates of employment |
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| 3. Provide employer, phone, job description, dates of employment |
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| 4. Provide employer, phone, job description, dates of employment |
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Extra Curricular Activities, Community Involvement, Volunteer Work, Awards, Accomplishments: |
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References:
Must be past employers or someone who knows your character- i.e. professor, pastor, someone you interned for. |
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Reference 1:
Name, description, phone |
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Reference 2:
Name, description, phone |
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Reference 3:
Name, description, phone |
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By sending this application I acknowledge the above information to be true and accurate to the best of my knowledge. |
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