Personal Information

Name *

Address

Cell Phone *

Home Phone

Email *

Have you previously applied for a position or worked for our company? *

If given a conditional offer can you furnish proof that you are at least 18 years of age or, if under 18, eligible for employment? *

Can you furnish proof that you are eligible for employment in the United States? *

*If given a conditional offer, please be aware that for certain positions, additional verifications may be required, including pre-employment drug testing, criminal background checks, and motor vehicle record reports.

Are there any special circumstances necessary for you to perform the job for which you are applying? *

EMPLOYMENT DESIRED

Position Desired *

# hrs/wk and days of the week you are available *

Start Date *

Secondary Position

# hrs/wk and days of the week you are available

Start Date

EDUCATION

Select Highest Level of Education *
Select OneHigh SchoolSome CollegeAssociate DegreeBachelor's DegreeMaster's DegreeDoctorateTrade SchoolOther

Summarize any experience, knowledge, skills, abilities, or specialized training you would like us to know about: *

EMPLOYMENT HISTORY

List most recent employer first. This section must be completed even if a resume is attached.

EMPLOYER 1

From

To

Company Name

Reason For Leaving

Position Held

City, State, Zip

Phone Number

Supervisor Name

May we contact this employer?

EMPLOYER 2

From

To

Company Name

Reason For Leaving

Position Held

City, State, Zip

Phone Number

Supervisor Name

May we contact this employer?

EMPLOYER 3

From

To

Company Name

Reason For Leaving

Position Held

City, State, Zip

Phone Number

Supervisor Name

May we contact this employer?

PERIODS OF UNEMPLOYMENT

Please account for any periods of unemployment in the space provided below:

From

To

Reason For Leaving

From

To

Reason For Leaving

PLEASE READ AND INITIAL EACH SECTION LISTED BELOW

In order to select the best possible candidate for employment, it is the policy of KemperSports Management to verify all of the statements you make on your application, including those regarding your employment history and your academic background (where this is a job requirement).

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that falsification of information requested in this document or omission of information may disqualify me from further consideration for employment, or, if discovered after I am hired, may result in my immediate discharge from employment. *

I acknowledge and agree.

I authorize investigation of all statements contained herein and references listed 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 liability for any damage that may result from furnishing same to you. *

I acknowledge and agree.

I understand and agree that this Employment Application does not constitute a contract of employment, and that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time for any or no reason, with or without prior notice. I also understand and agree that, if hired, the terms and conditions of my employment may be changed, with or without notice, at any time by Kemper Sports Management absent an enforceable, executed, written agreement to the contrary. *

I acknowledge and agree.

I understand that if selected for employment with the Company, I may be required to participate in a pre-employment drug testing program at a company authorized, licensed medical facility which includes screening for the presence of controlled substances. I understand that the results will be kept strictly confidential. I hereby release Kemper Sports Management, any employees or agents thereof from any and all claims or causes of action resulting therefrom. *

I acknowledge and agree.

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