Sokol Balt Job Application Form 2016

Sokol Baltimore Job Application

Thank you for your interest in working or volunteering at Sokol. Please complete the form below to apply for a position with us. You will have the opportunity to upload your resume at the bottom of the form.
Full Name *

First Name Middle Name Last Name
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email Address *
Phone Number *

Area Code Phone Number
Applying for Position *
Other Position
Relevant Professional Experience

Coaching Gymnastics Coaching Cheer, Tumbling, or Dance Coaching Other Physical Fitness Other Capacity (Teacher, Classroom Aide, Camp Counselor)
How did you learn of this position?

Referral by employee Referral by parent or student Internet search Social Media
Available Start Date

Month Day Year
Have you ever been convicted under any criminal law; incl. any plea of guilty, no contest, or deferred adjudication? *

Yes No
When, where, and disposition?
Are you legally eligible for employment in the USA? *

Yes No
Are you at least 18 years old? *

Yes No
Teaching physical education sometimes requires quick movements to lift or catch athletes to prevent injury, some may weight more than 100 pounds. Do you have a condition that would keep you from performing the physical requirements of coaching? *

Yes No
Are you willing to submit to a pre-employment drug/alcohol screen? *

Yes No
If hired, are you willing to submit to random drug/alcohol screens? *

Yes No
Are you willing to submit to a fingerprint supported criminal history background check? *

Yes No
Employment History
Which of the following describes your current employment status?

Employed Full Time Employed Part Time Full Time Student Part Time Student Not currently enrolled or employed
1. Current or Most Recent Employer's Name and Address
Dates Employed
Position Title & Duties
Last Supervisor
Reason for Leaving
May we call them?

Yes No
Employer's Phone Number

Area Code Phone Number
2.Prior Employer's Name and Address
Dates Employed
Position Title & Duties
Last Supervisor
Reason for Leaving
May we call them?

Yes No
Employer's Phone Number

Area Code Phone Number
3. Describe any other experience relative to coaching or non-profit work.
Education
Highest Education Attained *

High School or GED Some College Associate Degree Bachelors Degree Masters Degree Doctorate Degree Professional School Degree (MD, DDC, JD, etc.)
High School
Undergraduate College
Graduate School
Certifications

First Aid CPR / AED USA Gymnastics Safety & Risk Management USA Gymnastics Certified Professional Instructor
Other Qualifications
References - please provide at least 2
First Reference Name *
Relationship *
# Years Known *
Phone Number *

Area Code Phone Number
E-mail
Second Reference Name *
Relationship *
# Years Known *
Phone Number *

Area Code Phone Number
E-mail
Third Reference Name
Relationship
# Years Known
Phone Number

Area Code Phone Number
E-mail
Agreements and Signature

If you agree to the conditions below, please check each box, and sign and date this application. Then press the Send button.
Conditions *
Date *

Month Day Year
Signature *
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Sokol Baltimore Job Application

Employment History

Education

References - please provide at least 2

Agreements and Signature