Our Company is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color, religion, national origin, veteran status or any disability as provided in the Americans With Disabilities Act.

This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question must be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered. If a question is not applicable, place an NA for that question.
Personal Information

* 1. First Name

* 2. Last Name

* 3. Date of Birth


* 4. Phone

* 5. Email

* 6. Current Address

* 7. City *

* 9. Zip

* 10. I have lived at the above address for at least 5 years

* 11. Are you a citizen of the US?

* 12. Have you ever been convicted of any crime (excluding minor traffic violations including driving while under the influence of alcohol)?

* 13. Do you have any previous fitness or martial arts experience? If yes, please elaborate on experience and rank.

Employment Desired

* 14. Employment Desired Are you seeking

* 16. Salary Desired

* 17. Date available to start


* 18. Have you ever applied to our company before?

* 19. Have you ever worked for our company before?


* 20. Please fill out the name of your High School and College, plus years attended below. *

* 21. Are you planning on pursuing further studies?

* 22. List and describe any other school or specialized studies.


* 23. Have you ever served in the military?


* 24. Will you abide by the policies of this company?

* 25. Have you ever been disciplined for violating a former employer's safety rules or regulations?

* 26. Would you be willing and able to report to work on time every day on a regular and consistent basis?

Work History

* 27. List name of employers in consecutive order with present or last employer listed first. Please give month and year. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business refereneces.

Current Employer

* 28. Are you presently employed?

* 29. Have you ever been fired or asked to resign?


* 30. Give three references that have known you for three or more years. Do not use relatives or former employers. Please include name, address, phone number and occupation.

By clicking on the SUBMIT button, I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge. I hereby authorize Kicks Karate to contact any company or individual it deems appropriate to investigate my background, employment history, character and qualifications, and I give my full and complete consent to their revealing any and all information they wish to Kicks Karate during this investigation. In addition, I hereby waive my right to bring any cause of action against these individuals for defamation, invasion of privacy or any other reason because of their statements. I agree that, if I am employed, I will abide by all the rules and regulations of Kicks Karate. I further understand that nobody in Kicks Karate is authorized to enter into any written or verbal employment contracts with me for any definite period of time without the express written consent of the Executive Director of Kicks Karate.