Home | About | Contact | Tools/Links | Employment | HMO Reimbursement
Company Information › Employment
Search
Employment Application Form
We Are An Equal Opportunity Employer

Please fill in the following form to apply for a position online.

* indicates a required field

Personal Details: 
Desired Work Location:*
Last Name:*
First Name:*
Middle Initial:*
Address:*
City:*
State:*
Zip Code:*
Home Phone*
(Area Code - Phone #):		  - 
Cell Phone :*
Email Address:*
Position Desired:*
How did you
learn about us?		  Advertisement
 Friend
 Walk-In
 Employment Agency
 Relative
 Other
If you are under 18 years of age, can you provide
required proof of your eligibility to work?		  Yes
 No
Have you ever filed any application with us before?  Yes
 No
If Yes, give date
Have you ever been employed with us before?  Yes
 No
If Yes, give date
Are you currently employed?  Yes
 No
On what date would you be available for work?
Are you available to work?  Part Time
 Full Time
 Temporary
Are you currently on layoff status and subject to recall?  Yes
 No
Have you been convicted of a felony within the last 7 years? A conviction record will not necessarily be a bar from employment. Factors such as age at time of offense, seriousness and nature of the violation, and rehabilitation will be taken into account.
 Yes
 No
If Yes, Please explain
Educational Details: 
High School: 
School (Name and Address):
Course of study:
Years Completed:
Diploma/Degree:
Undergraduate College: 
College (Name and Address):
Course of study:
Years Completed:
Diploma/Degree:
Graduate Professional: 
College (Name and Address):
Course of study:
Years Completed:
Diploma/Degree:
Certifications: 
Describe any specialized training, apprenticeship and skills:
Employment Experience: Starting with Present or Most Recent Job
Employer #1: 
Name (Organization/Company):
Address:
Telephone No(s):
Separate by commas if more then 1
Job Title:
Supervisor:
Dates Employed:  To 
Hourly Rate/Salary:
Work Performed:
Reason for Leaving:
Employer #2: 
Name (Organization/Company):
Address:
Telephone No(s):
Separate by commas if more then 1
Job Title:
Supervisor:
Dates Employed:  To 
Hourly Rate/Salary:
Work Performed:
Reason for Leaving:
Employer #3: 
Name (Organization/Company):
Address:
Telephone No(s):
Separate by commas if more then 1
Job Title:
Supervisor:
Dates Employed:  To 
Hourly Rate/Salary:
Work Performed:
Reason for Leaving:
Employer #4: 
Name (Organization/Company):
Address:
Telephone No(s):
Separate by commas if more then 1
Job Title:
Supervisor:
Dates Employed:  To 
Hourly Rate/Salary:
Work Performed:
Reason for Leaving:
Resume: 
Attach Resume:
Applicant's Statement: 
 

IT IS VERY IMPORTANT THAT YOU READ THIS SECTION CAREFULLY, AND THAT YOU FULLY UNDERSTAND IT BEFORE YOU SIGN IT. THIS SECTION AFFECTS YOUR LEGAL RIGHTS. IF YOU HAVE ANY QUESTIONS PLEASE ASK BEFORE YOU SIGN THIS APPLICATION.

I certify that 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 in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. If I wish to be considered for employment beyond this time period I should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless the President of this organization specifically acknowledges such changes in writing.

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 rules and regulations of the employer.

Proof of citizenship or immigration status will be required upon employment.
Signature of Application: * Type your initials in capital letters
Date: *
 

CONSENT AND AUTHORIZATION TO RELEASE EMPLOYMENT/EDUCATIONAL INFORMATION

I, , understand and agree that Buffalo Athletic Club, Inc., any agent acting on their behalf, as well as any other person responding to a reference request pursuant to this application, specifically authorize said disclosure and agree to hold all such corporations, agents, or persons harmless for same. That is, I will not file a lawsuit, claim, or charge against them for such disclosure. Nor will I threaten same or otherwise seek any kind of compensation for such disclosure.
Signature: * Type your initials in capital letters
Date: *
 
logout