Name*:
Complete Address*:
Telephone (numbers ONLY)*:
Referred by:
Are you at least 18 years of age?*
Are you a US citizen?*
If you are NOT a US citizen, do you have legal authority to work in the US?
Have you ever been convicted of a felony?*
Employment Desired
Position*:
Date you can start*:
What hours can you work?*
Minimum salary/hourly rate
Are you currently employed?*
If yes, may we contact them?*
Have you applied to Bodyworks before?*
Name of last supervisor?
Reason for leaving?
Place a check in the box next to all the skills you possess*:
Education
Senior High School City and State:*
Did you graduate or get a GED?*
If no, number of years completed:*
College/University City and State*
Did you graduate?*
If yes, type of degree:*
If no, number of years completed:*
Trade, Business, or Correspondence School City and State:
Did you graduate?*
If yes, type of degree:
If no, number of years completed:*
Employment History List current or most recent employer first
Name of Employer:*
Address:
Phone:
Describe your duties and responsibilities:*
Beginning and ending salary/pay:*
May we contact this employer?*
Supervisor's name and position:*
Reason for leaving?*
Name of Employer:*
Address:
Phone:
Describe your duties and responsibilities:*
Beginning and ending salary/pay:*
May we contact this employer?*
Supervisor's name and position:*
Reason for leaving?*
Name of Employer:*
Address:
Phone:
Describe your duties and responsibilities:*
Beginning and ending salary/pay:*
May we contact this employer?*
Supervisor's name and position:*
Reason for leaving?*
Military Service
Branch of Service:
Date of Service - From/To
Did you receive a dishonorable discharge?
Statement of Understanding
Checking the box below indicates that I understand that nothing in this application or in any prior or subsequent written or oral statement creates a contract of employment or any rights in the nature of a contract. I agree and understand that if Bodyworks, Inc. hires me, my employment will be at-will for an indefinite period of time and may be terminated at any time, with or without cause or notice, at the option of Bodyworks, Inc. or myself. I understand that I have the right to end my employment at anytime and that Bodyworks, Inc. retains the same right. I also understand that no one has the authority to enter into any contract, agreement, or modification of the foregoing unless such contract, agreement, or modification is in writing and signed by the President or General manager of Bodyworks, Inc.
Authorization
I certify that the facts I have provided in this application are true and complete to the best of my knowledge and understand that, if employed, any falsified statement on this application shall be grounds for immediate dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning any previous employment and any pertinent information they may have, personal or otherwise, and release the company from any and all damage that may result from this information.
I also understand and agree that no Bodyworks representative has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and sogned by an authorized Bodyworks representative.
References
Name and Address:
Phone:
How long acquainted?
Type of reference?
Name and Address:
Phone:
How long acquainted?
Type of reference?
Name and Address:
Phone:
How long acquainted?
Type of reference?
Name and Address:
Phone:
How long acquainted?
Type of reference?
