Careers

THE SPORTS MEDICINE RESEARCH AND TESTING LAB

Employment Application

An Equal Opportunity Employer. No question is asked for the purpose of excluding any applicant due to race, color, national origin, religion, age, sex, or disability. This employer participates in E-Verify.

APPLICANT INFORMATION
Last Name First M.I. Date
Street Address Apartment/Unit #
City State Zip
Phone E-mail Address
Cell Phone Date Available Desired Salary
Position Applied for
Are you at least 18 years old Yes No    If hired, can you furnish proof that you are
authorized to work in the U.S.? 		Yes No   
Have you ever worked for this company? Yes No    If so, when?
Have you ever been convicted of a felony? Yes No    If yes, explain

EDUCATION
High School Address
From To Did you graduate Yes No
College Address
From To Did you graduate Yes No Degree
Other Address
From To Did you graduate Yes No Degree
Other Address
From To Did you graduate Yes No Degree

REFERENCES
Please list three professional references.
Full Name Relationship
Company Phone
Address
Full Name Relationship
Company Phone
Address
Full Name Relationship
Company Phone
Address

PREVIOUS EMPLOYMENT
Company Phone
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving
May we contact your previous supervisor for a reference? Yes No
Company Phone
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving
May we contact your previous supervisor for a reference? Yes No
Company Phone
Address Supervisor
Job Title Starting Salary $ Ending Salary $
Responsibilities
From To Reason for Leaving
May we contact your previous supervisor for a reference? Yes No

MILITARY SERVICE
Branch From To
Rank at Discharge Type of Discharge
If other than honorable, explain

APPLICANT AGREEMENT
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I agree to take a job related physical examination or a drug/alcohol test when requested as a condition of employment. I agree to comply with all rules of the company as a condition of employment. In the event the company advances me money or other things of value, I agree to repay the company and also that any amount still owing may be deducted from my final paycheck.
Signature of applicant Date