H E A L T H C L U B S
6 South El Dorado, Suite 700, Stockton, CA 95202 www.inshapeclubs.com
ISHC ASSURES EQUAL EMPLOYMENT OPPORTUNITY WITHOUT DISCRIMINATION BECAUSE OF RACE, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, RELIGION,
CREED, AGE, COLOR, NATIONAL ORIGIN, MARITAL STATUS, DISABILITY PREGNANCY, CHILDBIRTH OR RELATED MEDICAL CONDITION, OR VETERANSTATUS.
Please type or print in ink clearly Please complete all sections of this application If you have a resume, fill out application completely and attach.
Last Name First Name Middle Initial
Present Address: Street City State Zip Code Telephone (Evening)
( ) -
Permanent Address: Street City State Zip Code Telephone (Day)
( ) -
Are you 18 years of age or older? (if under 18, YES Have you ever been convicted of a felony or misdemeanor? YES
hire is subject to verification that you are of minimum legal age: If yes, please state the nature, date and circumstances of the crime in the space
i.e.: you will be required to submit a current work permit) provided. Conviction includes a verdict of guilty, plea of guilty or no contest. Do not
NO provide information about misdemeanor marijuana-possession convictions more than NO
Are you legally authorized to work in the U.S.? two years old, or convictions that have been dismissed as a result of the successful
YES completion of a pre-trial or post-trial diversion or drug treatment program. A
(Proof of identity and legal authority to work in the U. S. is a
condition of employment) conviction does not necessarily disqualify an applicant from employment at In-Shape
NO Health Clubs.
If a position you are applying for requires YES
operation of a vehicle, can you provide a
copy of your current DMV record, a valid
drivers license and proof of insurance?