EDUCATIONAL BACKGROUND
HIGH SCHOOL
College/ University
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 #2
Reference #3
FORMER EMPLOYER INFORMATION
Start with your most recent employer
Employer #1
Employer #2
Employer #3
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
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
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.”