APPLICATION FOR EMPLOYMENT

Indiana Fitness Works is an equal opportunity employer. Applicants are considered for employment without regard to race, color, national origin, religion, sex, age, disability, or any other basis prohibited by law, unless such basis constitutes a bonafide occupational qualification. Indiana Fitness Works will comply with its legal obligation to provide reasonable accommodation to qualified disabled applicants.

General Information
First Name:
Middle:
Last:
Address:
City:
State: Zip:
 
 

How long have you lived at this address?

If you have resided at this address less than one year, or this is a temporary address, list your prior address:

Address:
City:
 State: Zip:
 
Current Phone:  Permanent Phone :
Social Security #:          
 

Position Sought
Position(s) Desired: Salary Desired:
Are you available to work: Full-Time Part-Time PRN
On what date would you be available for work?
How were you referred to employment with us?


Qualifactions
Are you a U.S. Citizen or an alien legally entitled to work in the position(s) for which you have applied? Yes No (Federal law requires applicants to present certain documentation to verify their identity and United States citizen status or, if an alien, their legal authorization to work in the United States.)
Are you 18 years of age or older? Yes No If no, date of birth:
 
 


 
Copyright 2005 Indiana Fitness Works, Inc