CSR Application

General Information

Referral*

How did you hear about us? (Please enter the name of the person or place that referred you.)

Name*

First Middle Last

Last 4 Digits of SSN*

Email*

Enter Email Confirm Email

Current Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Other Phone

Are you younger than 18 years of age?*

Yes

Birthdate

Can you work weekends and/or holidays?*

Yes

Have you ever been convicted for any offense (other than minor traffic violations?)*

Yes

A conviction will not necessarily bar you from employment. The type or seriousness of the crime, along with your entire work history, education history and the position for which you are applying for will be considered.

Please explain.*

Have you ever been employed by any location of Imperial Sports?*

Yes

Location*

Dates*

Supervisor*

Position*

Under what name/names*

Education/Skills

High School

Address

Diploma/GED/Degree/Certificate

College/University

Course of Study

Address

Diploma/GED/Degree/Certificate

Special courses, skills, training or experience acquired

Employment History

Start with your most recent employer, list ALL positions for the past 10 years and account for any periods of unemployment. Please list significant experience more than 10 years ago. Resumes are welcome, however, completion of the application is required. Incomplete applications will NOT be considered.

Employer

Your Position / Title

Date Employed From

Date Employed To

Name of Supervisor

Supervisor's Title

Phone Number

Employment Status

Full Time

Part Time

Starting Salary

Ending Salary

Address

Describe Your Responsibilities

Reason For Leaving

Employer

Your Position / Title

Date Employed From

Date Employed To

Name of Supervisor

Supervisor's Title

Phone Number

Full Time

Part Time

Starting Salary

Ending Salary

Address

Describe Your Responsibilities

Reason For Leaving

May we contact your present employer?

Yes

If no, please explain

May we contact your previous employers?

Yes

If no, please explain

Please explain any gaps in your employment history

References

Please give three references (not relatives or persons previously listed) who are acquainted with your training or activities during the past five years. If you’re a recent college graduate then professors and faculty advisors in your field of concentration are particularly helpful

Name

Phone

Time Known

Name

Phone

Time Known

Name

Phone

Time Known

Remarks

Make any comments you feel are important to your application.

Resume

Max. file size: 64 MB.

Name

This field is for validation purposes and should be left unchanged.