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LOYALTY

Application For Employment at Striders

Name
Email Address
Phone Number
Present Address
Permanent Address
High School
High School Name (If graduated or enrolled)
Tech/Vocational School
Tech/Vocational School Name or Certificate earned if applicable
College
College Name (if graduated or enrolled)
Reference 1 - Name
Reference 1 - Address
Reference 1 - Phone (xxx-xxx-xxxx)
Reference 2 - Name
Reference 2 - Address
Reference 2 - Phone (xxx-xxx-xxxx)
Have you ever been convicted of a felony (yes or no)? If yes, explain.
Emergency Contact - Name
Emergency Contact - Address
Emergency Contact - Phone (xxx-xxx-xxxx)
Full Time or Part Time Desired?
Wage Desired? (ex. $9.50/hr)
Earliest Start Date (dd/mm/yyyy)
Why would you like to work at Striders?
Employment History 1 - Employer
Employment History 1 - Start Date (mm/yyyy)
Employment History 1 - End Date (mm/yyyy)
Employment History 1 - Position
Employment History 1 - Wage
Employment History 1 - Reason For Leaving (if still employed, indicate "currently employed")
Employment History 1 - Supervisor's Name
Employment History 1 - Supervisor's phone number or email (xxx-xxx-xxxx)
Employment History 2 - Employer
Employment History 2 - Start Date (mm/yyyy)
Employment History 2 - End Date (mm/yyyy)
Employment History 2 - Position
Employment History 2 - Wage
Employment History 2 - Reason For Leaving
Employment History 2 - Supervisor's Name
Employment History 2 - Supervisor's phone or email (xxx-xxx-xxxx)
Employment History 3 - Employer
Employment History 3 - Start Date (mm/yyyy)
Employment History 3 - End Date (mm/yyyy)
Employment History 3 - Position
Employment History 3 - Wage
Employment History 3 - Reason For Leaving
Employment History 3 - Supervisor Name
Employment History 3 - Supervisor Phone Number or email (xxx-xxx-xxxx)
Product Knowledge - Check all areas that you are knowledgable in
- Running
- Walking
- Biking
- Triathlon
- Swimming
- Cross Training
Product Activity - Check all areas that you are currently active in
- Running
- Walking
- Biking
- Triathlon
- Swimming
- Cross Training
Monday Work availability: Check times you ARE available to work
- All Times Available
- 10:00 - 11:00am
- 11:00 - 12:00pm
- 12:00 - 1:00pm
- 1:00 - 2:00pm
- 2:00 - 3:00pm
- 3:00 - 4:00pm
- 4:00 - 5:00pm
- 5:00 - 6:00pm
- 6:00 - 7:00pm
- 7:00 - 8:00pm
- No Times Available
Tuesday Work Availability
- All Times Available
- 10:00 - 11:00am
- 11:00 - 12:00pm
- 12:00 - 1:00pm
- 1:00 - 2:00pm
- 2:00 - 3:00pm
- 3:00 - 4:00pm
- 4:00 - 5:00pm
- 5:00 - 6:00pm
- 6:00 - 7:00pm
- 7:00 - 8:00pm
- No Times Available
Wednesday Work Availability
- All Times Available
- 10:00 - 11:00am
- 11:00 - 12:00pm
- 12:00 - 1:00pm
- 1:00 - 2:00pm
- 2:00 - 3:00pm
- 3:00 - 4:00pm
- 4:00 - 5:00pm
- 5:00 - 6:00pm
- 6:00 - 7:00pm
- 7:00 - 8:00pm
- No Times Available
Thursday Work Availability
- All Times Available
- 10:00 - 11:00am
- 11:00 - 12:00pm
- 12:00 - 1:00pm
- 1:00 - 2:00pm
- 2:00 - 3:00pm
- 3:00 - 4:00pm
- 4:00 - 5:00pm
- 5:00 - 6:00pm
- No Times Available
Friday Work Availability
- All Times Available
- 10:00 - 11:00am
- 11:00 - 12:00pm
- 12:00 - 1:00pm
- 1:00 - 2:00pm
- 2:00 - 3:00pm
- 3:00 - 4:00pm
- 4:00 - 5:00pm
- 5:00 - 6:00pm
- No Times Available
Saturday Work Availability
- All Times Available
- 10:00 - 11:00am
- 11:00 - 12:00pm
- 12:00 - 1:00pm
- 1:00 - 2:00pm
- 2:00 - 3:00pm
- 3:00 - 4:00pm
- 4:00 - 5:00pm
- No Times Available
Digital Signature - "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. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I hereby waive written notice that employment information is being provided by any person or organization. I understand that a drug and alcohol test may be administered at any particular time. By voluntarily submitting to the drug/alcohol test, I release all parties from all liability related to the information discovered during/and or after the test. In consideration of my employment, I agree to abide by the rules and policies set forth by Striders, and that my employment will be at will and can be terminated anytime with or without cause and without notice, at the option of either the company or myself."
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LOCATION & HOURS GRANDVILLE :: 4045 Chicago DR SW :: 616-261-9706 :: HOURS: Mon- Wed: 10-8, Thur& Fri: 10-6, Sat: 10-5 Closed Sunday

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