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test
2021-01-14T22:50:13+00:00
Date
MM slash DD slash YYYY
Name
*
First
Last
Date of Birth
MM slash DD slash YYYY
Cell Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Years at current address:
*
Less than 1 year
2-5 years
10+ years
Interested in:
Part Time Work
Full Time Work
Seasonal Work
Are you at least 18 years old?
*
Yes
No
Do you have reliable transportation to and from work?
*
Yes
No
Shift Preference 1
*
5am-11am
11am-5pm
5pm-11pm
Shift Preference 2
*
5am-11am
11am-5pm
5pm-11pm
Shift Preference 3
*
5am-11am
11am-5pm
5pm-11pm
Are you able to perform the essential functions of the job with or without reasonable accommodations?
*
Yes
No
What reasonable accommodation, if any, would you require?
Desired Employment Position
*
HUB Associate
Utility Player
Youth Programming
Fitness Instructor
CrossFit Instructor
Personal Trainer
Administrative Assistant
Other
Other
Date You Can Start
MM slash DD slash YYYY
Desired Hourly Pay Rate
Have you ever worked for or applied to nZone before?
*
Yes
No
If so, what dates were you employed with nZone?
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Who referred you The nZone?
*
First
Last
Highest level of education completed
*
High School
Some College
Bachelor's Degree
Master's Degree
Doctorate
Name of High School
*
Name of College
Current or most recent employer
Job functions/duties
Dates Employed
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for leaving
Employer
Job functions/duties
Dates Employed
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for leaving
Please rank the following skills from one (1) represents poor ability to five (5) represents exceptional ability.
Accounting/Bookkeeping
1
2
3
4
5
Customer Service
1
2
3
4
5
IT
1
2
3
4
5
Marketing/Business
1
2
3
4
5
Microsoft Office
1
2
3
4
5
Photography
1
2
3
4
5
Social Media Development
1
2
3
4
5
Sales
1
2
3
4
5
Videography/Editing
1
2
3
4
5
List other skills and your proficiency level
List any awards, honors, certificates, and special achievements
Please list two references, not related to you to provide employment feedback
*
Name, Phone, Email, Relationship
Have you ever been convicted of, pled guilty to or pled no contest to a crime, excluding misdemeanors and traffic violations?
*
Yes
No
If yes please explain
*
Please provide any additional information you believe should be considered.
I certify that the information I have provided on this application is truthful and accurate. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for immediate dismissal. I authorize The nZone to contact the employers, schools and organizations that I have listed on this application regarding my employment and education. I authorize the persons, employers, schools and organizations listed on this application to give you any information concerning my employment or other pertinent information they may have, personal or otherwise, and release all parties from all liability and damages that may result from furnishing such to you. I acknowledge that The nZone reserves the right to amend or modify any of its handbooks or policies at any time without prior notice. I understand that should an employment offer be extended to me and accepted, that I will fully adhere to the policies, rules and regulations of The nZone. However, I further understand that neither the policies, rules, regulations of employment, nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand any employment with The nZone is at-will and that either I or The nZone may terminate my employment at any time with or without notice or cause. My employment at-will status cannot be modified unless such modification is set forth in writing in a document signed by both me and an officer of The nZone. Employee Handbooks, manuals, personnel policies and procedures of The nZone are not employment contracts and do not modify my status as an at-will employee. I HAVE CAREFULLY READ THE ABOVE CERTIFICATION, AND I UNDERSTAND AND AGREE TO ITS TERMS AND CONDITIONS.
*
Name
This field is for validation purposes and should be left unchanged.
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