Indianapolis Racquet Club - Application for Employment

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Indianapolis Racquet Club

8249 Dean Road, Indianapolis, IN 46240


FAX: 317-842-5631

Personal Information
Name                                                                  Social Security#                                
Current Address                                                                                                            
Home Phone                                                  Other Phone                                     
Referred by                                                                                                                  

Employment Information
Are you applying for (circle one):    Part-Time      Full-Time
Date Available to Start                                 Salary Desired                                  
Are you available (circle all that apply):    Day-Time      Evenings     Weekends
Are you currently employed?                                  
If so, may we contact your present employer?                                                 
Have you applied for a position at IRC in the past?                                             
If so, on what date?                                     Which location?                              
Please list any skills you have that are appropriate for the position you are applying for:

Type of School School Name Location of School Years Attended Did you graduate? Course of Study
High School          
Trade, Business, Advanced Degrees, etc.          

Indianapolis Racquet Club - Application for Employment

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Former Employers (List below, starting with the most recent first.)
Dates Name & Address of Employer Salary Position Reason for Leaving

References  (Please list 4 references with no more than one being a personal friend.)
Name Phone Number Relationship Years Known

"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 and employers 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 the company from all liability for any damage that may result from utilization of such information.  I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."

Signature                                                                  Date