Grimes Job Application

Grimes Application Info

Date of Application*

Which position(s) are you applying for?*

Grimes Front Desk Instructor
Grimes Front Desk Supervisor
Youth Programming Coach
Class Instructor

Date Available to Start*

Applicant Information

Name*

First Last

Are you at least 16 years old?*

Yes
No

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If you were referred by a Climb Iowa Staff Member, please list their name below.

Education

High School*

Select the option that applies to you*

List your college/trade school or additional education*

Select the option that applies to you*

Work Experience

Employer #1

Start date

End Date

Describe your job duties.

Reason for leaving

Supervisor

Phone

May we contact?

Yes
No

Employer #2

Start date

End date

Describe your job duties.

Reason for leaving

Supervisor

Phone

May we contact?

Yes
No

Job Specific Questions

Why are you interested in working at Climb Iowa?*

At Climb Iowa, we strive to offer exceptional services by letting our passions motivate our actions. Please describe how you would offer exceptional service to our customers.*

What is your ideal work environment?*

Do you know anyone that works at Climb Iowa? If yes, please state which staff member.*

Work Availability

Please write in when you are available each day of the week. Availability on Saturday and Sunday may be a requirement for employment.

Monday*

Tuesday*

Wednesday*

Thursday*

Friday*

Saturday*

Sunday*

Preferred hours/week*

Application Agreement

I agree to the stated terms.

By submitting this application of employment, I agree to and understand the following:
The State of Iowa is an “at-will” state and we conduct our business operations with this in
mind. All our employees are “employees at will,” which means that if you are offered
employment with Climb Iowa, your employment may be terminated, either by you or by the
company, at any time for any reason or no reason at all.
Climb Iowa is an equal employment opportunity employer. We adhere to a policy of making
employment decisions without regard to race, color, religion, sex, sexual orientation,
national origin, citizenship, age, or disability. We assure you that your opportunity for
employment with this Company depends solely on your qualifications.
By submitting this application, you authorize investigation of all statements contained in thisapplication. You understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. You hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.

Signature*

First Last

Today's Date*

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