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Leilani Betencourth
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Pure Fitness health clubs application for employment

Personal Information
Last Name
 First Name
 M.I.
 Home Phone Number
Address
 City
 State
 Zip
Email Address
Position Applying For Babysitting
Front Desk
Fitness Consultant
Personal Trainer
Manager-in-Training

Date Available for Work:

Are you able to work holidays? Yes   No

Employment Status Desired: Full Time   Part Time
Which locations are the "most" convenient for you to work at?
    AZ
  • NW Phoenix
  • West Phoenix
  • Scottsdale
  • Tempe
  • Chandler/Gilbert/Mesa
Days and Hours You Are Available to Work Sun  Mon  Tue  Wed  Thu  Fri  Sat  

Hours Available:
Legal Information Are you 18 years of age or older? Yes   No
(Proof of identity and legal authority to work in the U.S. is a condition of employment)

 Do you have the legal right to work in the U.S.? Yes   No

Have you ever been convicted of a felony or serious misdemeanor? Yes   No
If yes, please state the nature, date and circumstances of the crime.

If a position you are applying for requires operation of a vehicle, can you provide a copy of your current DMV record, a valid drivers license and proof of insurance? Yes   No
How did you hear about Pure Fitness? Radio
TV
Walk-by
Other
Previous Experience Have you worked in the fitness industry before? Yes   No
If yes, please state when, where, position held, and reason for leaving.

Education Please include school location, course of study, years completed, and degree received.

High School


College


Business/Trade


Employment History Please give an accurate, complete full-time and part-time employment record. Start with your present or most recent employer.

1.
Company Name
 Telephone
Address
 Name of Supervisor
Employed (month, year) from/to
 Weekly Pay: Starting
Describe your work
Reason for Leaving
2.
Company Name
 Telephone
Address
 Name of Supervisor
Employed (month, year) from/to
 Weekly Pay: Starting
Describe your work
Reason for Leaving
Briefly describe any experience you have related to the job you are applying for:
Applicant's Certification I certify that the information contained in this employment application is true and correct to the best of my knowledge.  I authorize Pure fitness to investigate all statements in this application unless indicated otherwise in writing herein.  I authorize Pure Fitness to contact any of my previous employers or references.  I hereby release from liability all persons, firms and/or corporations furnishing information concerning me.  I understand that if I am hired, my employment at Pure Fitness is “AT WILL” and may be terminated at any time with or without cause and without advance notice by Pure Fitness or me and that employment is for no specific term.   I further understand that no representative of Pure Fitness other than the Managing member, in writing, has authorization at anytime to alter this provision. 

If hired, I agree to abide by Pure Fitness’ policies and procedures.  I certify in writing that the facts set forth in my application for employment are true and complete.  I understand that if hired, false or incomplete statement, or any misleading, incorrect or omitted information may result in termination.

I agree to these terms and conditions