Application for Employment

Fredericksburg Field House, Inc. (FFH) provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age (40 or older), disability, or genetic information or any other basis prohibited by Federal, State & Local law. Please let us know if you need accommodation in order to participate in the application process.

I. General Information
The application must be completed in its entirety. Partial or incomplete applications may be cause for eliminating an applicant from consideration. A resume may be attached to the application, but it will not substitute for the completed application. All statements made on an application are subject to verification. False statements, omissions, or alterations to this application may be grounds for disqualification.
Name*
First Middle Last
Present Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Are you 18 years of age or older?*
- Yes
- No
If you are under 18 years, can you provide a work permit if required for the position?*
- Yes
- No
- N/A
Are you legally authorized to work in the United States?*
- Yes
- No
Are you currently employed?*
- Yes
- No
If so, may we contact your present employer?*
- Yes
- No
- N/A
Have you previously applied for employment with the FFH?*
- Yes
- No
If yes, date applied
Date Format: MM slash DD slash YYYY
Have you ever worked for the FFH before?*
- Yes
- No
If yes, list dates, departments & titles:
II. Employment Desired
Position*
Date you can start*
Date Format: MM slash DD slash YYYY
Salary desired*
Available Days*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Available Times*
- Day
- Evening
- Overnight
- Open
Referred by
III. Education
High School Name
High School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
High School Years Attended
High School Date Graduated
High School Subjects studied/Degrees awarded
College Name
College Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
College Years Attended
College Date Graduated
College Subjects studied/Degrees awarded
Graduate School Name
Graduate School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Graduate School Years Attended
Graduate School Date Graduated
Graduate School Subjects studied/Degrees awarded
Trade/Business School Name
Trade/Business School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Trade/Business School Years Attended
Trade/Business School Date Graduated
Trade/Business School Subjects studied/Degrees awarded
Business machines you can operate
Can you type?*
- Yes
- No
If yes, words per minute
Additional information
Please list any other information related to educational courses that may be relative to your qualifications for the position(s) for which you are applying.
IV. Personal Information
Professional Reference #1: Name*
First Name Last Name
Please list two references, not including family.
Professional Reference #1: Email*
Professional Reference #1: Occupation*
Professional Reference #1: Phone*
Professional Reference #2: Name*
First Name Last Name
Please list two references, not including family.
Professional Reference #2: Email*
Professional Reference #2: Occupation*
Professional Reference #2: Phone*
Have you ever been convicted in court of other than a misdemeanor or a minor traffic violation?*
- Yes
- No
If you answered yes, please explain
You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied.
V. Employment History
Start with your present position or most recent job.
Employment #1: Employer
Employment #1: Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employment #1: Phone
Employment #1: Supervisor Name
First Name Last Name
Employment #1: Start Date
Date Format: MM slash DD slash YYYY
Employment #1: End Date
Date Format: MM slash DD slash YYYY
Employment #1: Hourly Rate/Salary
Employment #1: Work Performed
Employment #1: Reason for Leaving
Employment #2: Employer
Employment #2: Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employment #2: Phone
Employment #2: Supervisor Name
First Name Last Name
Employment #2: Start Date
Date Format: MM slash DD slash YYYY
Employment #2: End Date
Date Format: MM slash DD slash YYYY
Employment #2: Hourly Rate/Salary
Employment #2: Work Performed
Employment #2: Reason for Leaving
Employment #3: Employer
Employment #3: Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employment #3: Phone
Employment #3: Supervisor Name
First Name Last Name
Employment #3: Start Date
Date Format: MM slash DD slash YYYY
Employment #3: End Date
Date Format: MM slash DD slash YYYY
Employment #3: Hourly Rate/Salary
Employment #3: Work Performed
Employment #3: Reason for Leaving
Did you have any disciplinary problems (i.e. warnings, suspensions, dismissals) with any previous employer?*
- Yes
- No
If so, please describe the facts and circumstances, as well as where you were employed at the time:
Please Read Carefully Before Submitting:
(1) I understand that completion of this application does not indicate that there are any positions open and does not obligate FFH to hire or offer me a job. (2) I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. (3) In the processing of my employment application, an investigation may be conducted whereby information and references will be requested from former employers. Permission is hereby granted to any school, person, firm or corporation, whether my former employer or otherwise, to give Fredericksburg Field House any relevant information that may be required as determined by FFH to arrive at an employment decision and I hereby release FFH, its officers, employees, representatives, or agents, from any and all liability and/or damage incurred by myself in accessing or using such information. (4) I have read this Employment Application and I fully understand its contents. By my signature below, I hereby certify that I have answered all questions fully, have provided truthful and accurate answers to all questions, and have not omitted any information called for in the application.
Please type your entire name as written in the beginning of this application if you understand and certify the above statements.*
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Application for Employment

I. General Information

II. Employment Desired

III. Education

IV. Personal Information

V. Employment History

Please Read Carefully Before Submitting: