Thank you for your interest in employment with Power In Motion. Please complete the form below.

CONTACT INFORMATION

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Phone *

Email Address *

How did you hear about us? *

Are you interested in a full-time or part-time position? *

Full-time

Part-time

What type of position are you interested in? (Please select all that apply) *

Office

Coaching- Preschool (ages 18 mths-5yrs)

Coaching- Tumbling & Gymnastics Classes (ages 6 & up)

Coaching- Gymnastics Team

Coaching- Cheer

Coaching- Ninja

Coaching- Dance

Monday Availability

Check all boxes that apply.

8:30am-12pm
12pm-4pm
3:45pm-8:45pm
I am not available this day.
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Tuesday Availability

Please select all that apply.

8:45am-12pm
12pm-4pm
3:45-8:30pm
I am not available this day.
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Wednesday Availability

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8:45am-12pm
12pm-4pm
3:45pm-8:30pm
I am not available this day.
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Thursday Availability

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8:45am-12pm
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3:45-8:30pm
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Friday Availability

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8:45am-12pm
12pm-4pm
3:45-8:30pm
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Saturday Availability

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8:45am-1:45pm
12:30pm-5pm
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My availability is flexible.

Yes
No
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Date you can start

Please select any certifications you currently hold:

USAG Membership
USAG Safety Certified
CPR Certified
First Aid Certified
USASF Membership
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Have you ever applied to Power In Motion?

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No
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Check off any areas you are currently certified in:

USAG Safety

First Aid Certified

CPR Certified

Preschool FUNdamentals

Do you have experience, either as an athlete or an instructor? Please describe:

EDUCATIONAL BACKGROUND

HIGH SCHOOL

High School Name *

Location *

Did you graduate? *

Yes

Degree/Diploma earned: *

College/ University

College/ University Name

College/ University Location

Degree Earned:

REFERENCES

Please give us the names of three persons NOT related to you, whom you have known for at least one year

Reference #1

Reference Name:

Relationship With Reference:

Years Known:

Reference Phone Number:

Reference #2

Reference Name:

Relationship With Reference:

Years Known:

Reference Phone Number:

Reference #3

Reference Name:

Relationship With Reference:

Years Known:

Reference Phone Number:

FORMER EMPLOYER INFORMATION

Start with your most recent employer

Employer #1

Company Name:

Contact Person:

Employer Phone #:

Job Title:

Date Started:

Date Ended:

Describe Duties and Responsibilities:

Salary/Hourly

Salary

Hourly

Pay Amount

Employer Address:

City:

State:

Zip Code:

Reason For Leaving:

If this is your current employer, is it okay for us to contact? *

Yes

This is not my current employer

Employer #2

Company Name:

Contact Person:

Employer Phone #:

Job Title:

Date Started:

Date Ended:

Describe Duties and Responsibilities:

Salary/Hourly:

Salary

Hourly

Pay Amount:

Employer Address:

City:

State:

Zip Code:

Reason For Leaving:

If Employer #2 is your current employer, is it okay for us to contact?

Yes

This is not my current employer

Employer #3

Company Name:

Contact Person:

Employer Phone #:

Job Title:

Date Started:

Date Ended:

Describe Duties and Responsibilities:

Salary/Hourly

Salary

Hourly

Pay Amount:

Employer Address:

City:

State:

Zip Code:

Reason For Leaving:

If Employer #3 is your current employer, is it okay for us to contact?

Yes

This is not my current employer

PHYSICAL/HEALTH RECORD

At Power in Motion teaching physical education skills to children or generally supervising children in a physical environment sometimes requires quick or unexpected movements including lifting or catching (“spotting”) children weighing up to 150 lbs. or more. Additionally, teaching positions also often require lifting and adjusting heavy sports apparatus, or if working in office or food areas, lifting of heavy boxes up to 100lbs. “I am able to perform the physical requirements of the position(s) for which I applied without jeopardizing my safety or the safety of Power in Motion students, clients, guests, coworkers or others. I have read and agree to the statements above.”

PERSONAL

Why did you choose to apply at Power in Motion?

Why should Power in Motion consider your application?

What do you think you will bring and add to Power in Motion that would benefit our gym?

Explain a little about yourself and why you feel you would make a great team member at Power In Motion.

What hard skill can you demonstrate now?

What would you do if you saw an employee stealing?

What would you do if a kid was crying?

At Power in Motion, we believe in building strong relationships. However, despite best intentions, sometimes business relationships do not work out and that is why all employment at Power in Motion is AT WILL which means that either party, the employee or the Company, can terminate employment at any time, with or without notice and with or without reason.

CRIMINAL BACKGROUND

Have you ever been convicted of anything other than traffic violations?

Yes

If yes, please explain:

Power in Motion is an equal opportunity employer and follows non-discriminatory practices. PIM’s number one concern is to provide a safe and happy environment for its students. Please know, Power in Motion performs background checks on all employees. I understand and agree that the Company will administer background checks on me, and my initial and continued employment is conditional upon the results of these checks. I authorize these investigations and release PIM and all parties from all liabilities for any damage that may result from furnishing same. I have read and agree to the statement above

CERTIFICATION TO ACCURACY AND UNDERSTANDING OF TERMS IN PIM APPLICATION

“I certify that the facts contained in this application or during the interview are true and complete to the best of my knowledge and understand that, if employed, false, incomplete and misleading statements on this application or during interview shall be grounds for immediate dismissal. I have read and agree to the statement above.”

“I authorize investigation of all statements contained herein and 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 liabilities for any damage that may result from furnishing same to you. I have read and agree to the statement above.”

“I understand that if I am hired my continued employment is contingent upon my successful performance during a 90 day introductory period. I also understand and agree that, if hired my ongoing employment will be AT WILL for no definite period and may, regardless of the date of employment or my wages, be terminated at any time with or without any prior notice or reason. I have read and agree to the statement above.”

Signature *

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