Date* Date Format: MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone 1Phone 2Email Are you 18 or older?*YesNoAre you able to provide proof of your eligibility to work in the United States?*YesNoInterest Location West - Allen Rd. Northwest - Olive Dr. Northwest - Calloway Dr. Southwest - Panama Ln. Southwest - White Ln. Northeast - Bernard St. Moorpark Sports Club Hours Full Time Part Time Job title Membership Consultant Member Services/Front Desk Kid Kare Custodial Maintenance Maintenance Technician Personal Training/Instructor Group Exercise Instructor Other Other job interested inOther Commitments (School , Groups, etc.)Special Skills (Certifications, Degree, etc.)High School Level AchievedHigh School DiplomaYesNoCollege Level Courses (Units)Field of StudyUndergraduate DegreeOther Training and Education related to the position for which you have appliedEmployment HistoryEmployerTelephonePositionHire Date Date Format: MM slash DD slash YYYY Date Left Date Format: MM slash DD slash YYYY Name and Title of SupervisorDescription of Major ResponsibilitiesReason for LeavingAdd more employment history?YesNoEmployment History 2EmployerTelephonePositionHire Date Date Format: MM slash DD slash YYYY Date Left Date Format: MM slash DD slash YYYY Name and Title of SupervisorDescription of Major ResponsibilitiesReason for LeavingReferencesNameCompanyRelationshipPhoneAdd another reference?YesNoReference 2NameCompanyRelationshipPhoneAdd another reference?YesNoReference 3NameCompanyRelationshipPhoneOptionalFill inThe following space has been provided to allow you to share any additional information about yourself that you would like for us to be aware of. Also, feel free to share your thoughts in regard to fitness and customer service.I certify that the information provided herein is accurate and truthful. I understand that if I am employed, false statements or information on my application may result in my dismissal. I authorize Body Xchange Health Clubs to verify any information I have provided in this application. I hereby authorize Body Xchange Health Clubs, its employees, or agents to contact the reference as well as past and present employers listed on the application. I further acknowledge that employment at Body Xchange Health Clubs is “at will”. This means that if I am employed either I or the company can terminate the employment relationship at any time, with or without prior notice, with or without cause.How would you like to sign?*Type my nameFinger on phone/mouse on computerType full name*Signature*Today's Date Date Format: MM slash DD slash YYYY Digital Signature* I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.