Job Opportunities

Kids First Sports Safety, Inc.
220 Main St., Lemont, IL 60439
630-257-5438

Application for Employment

Kids First Sports Safety, Inc. is an Equal Opportunity Employment employer, and does not discriminate in any of its employment practices on the basis of race, color, religion, sex, national origin, ancestry, age, marital status, physical or mental disability, unfavorable discharge from military service or citizenship status.

* Your name:
* Location (city/state):
* Your e-mail address:
Application Date :		MM DD YY
Position(s) applied for :
Available to Start :
Full Name :
Full Address :
Phone :
Social Security # :
Drivers License # :
School Phone :
If applying for a seasonal position, indicate the last date you can work :

If you are under 16, can you furnish a work permit? :
Age:
Have you ever filed an application here before? :
If yes, please give date :		MM DD YY
Have you ever been employed here before? :
If yes, please give date:		MM DD YY
Are you employed now? :
May we contact your current employer?
Are you a citizen or lawful resident of the U. S.? :
(Proof may be required for employment)
Have you ever been convicted of a felony? :
If yes, please explain:

EMPLOYMENT EXPERIENCE (start with most current employer)

Employer Name :
Address :
Phone :
Start Date :		MM DD YY
Starting Position :
Starting Salary :
End Date :		MM DD YY
Ending Position :
Ending Salary :
Name of Supervisor :
Reason for Leaving :
Duties :

Employer Name :
Address :
Phone :
Start Date :		MM DD YY
Starting Position :
Starting Salary :
End Date :		MM DD YY
Ending Position :
Ending Salary :
Name of Supervisor :
Reason for Leaving :
Duties :

Employer Name :
Address :
Phone :
Start Date :		MM DD YY
Starting Position :
Starting Salary :
End Date :		MM DD YY
Ending Position :
Ending Salary :
Name of Supervisor :
Reason for Leaving :
Duties :

EDUCATION & INTERESTS

	Grammar	High School	College/University	Graduate/Professional
School Name
Years Completed (Circle)
Diploma/Degree (Circle)
Course of Study

Specialized training, skills and extracurricular activities :
Honors Received :
Special Interests or Hobbies :
Any additional information you feel may be helpful to us in considering your application :

REFERENCES
Please list the name, address and phone number of three references who are not related to you and who are not previous employers:

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary to arrive at an employment decision. I understand that this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also that I am required to abide by all the rules and regulations of the Kids First Sports Safety, Inc.