Employment Application200902
* I am applying for the position of
* Gender
* First Name
Middle Name
* Last Name
* Date of Birth
* Permanent Resident of
* Country of Birth
* Nationality
* Do you have dual nationality or passport?
* Contact Address Number and Street
* City or Town
* County or State
* Post Code or Zip
* Country
Phone
Work Phone
* Email
How often do you check your mail?
Select One...
Every few hours
Once a day
Once a week
Not often
* Emergency Contact Name
* Emergency Contact Relationship
* Emergency Contact Phone Number
* Have you ever been cautioned, arrested or convicted of a criminal offense or at present, the subject of a criminal investigation?
* Please tick all the qualifications you hold
Courses Pending
* Please describe your coaching experience
Please provide information on your most recent college - Unversity/College Name
City or Town
Course of study
Current Year at University or College
Select One...
First Year
Second Year
Third Year
Fourth Year
Other
Employment Status
Select One...
Full Time Student
Part Time Student
Full Time Employment
Please provide information on your most recent employer; include name of employer
Occupation
Length of time in position
Address
City or Town
County or State
Post or Zip Code
Contact Person
Contacts Occupation
Contacts Phone
* Medical History Are you in good health?
If no explain
* Do you have any physical disabilities?
If yes explain
* Do you suffer from any pre-existing medical conditions?
If yes explain
* Do you have any allergies?
If yes explain
* Do you drink alcohol?
If yes how often
Select One...
Daily
Weekly
Every few weeks
Special occasions
* Do you smoke?
If yes how many do you smoke per day?
Select One...
Less than 5
Less than 10
One pack
* Are you presently or have you been in the last two years on any medication?
If yes explain
* Have you ever had a drug addiction or problem?
If yes explain
* Do you have any visible tattoos or body piercing?
If yes explain
* Personality What are your strongest qualities?
* What do you think will be your greatest difficulty in working overseas and why?
* Do you prefer to work alone or in a group and why?
* Give details of any leadership roles you have had
* Why do you want to participate in a Play Soccer program?
* What assets do you feel you have that may set you apart from other coaches applying for a position?
What contribution do you believe you can make to the students at Play Soccer Camps?
* Without mentioning soccer what are your interests,hobbies or activities?
* Why should Play Soccer choose you as a coach?
* Work Visa Information - Have you previously entered the USA on a visa?
If yes, when and what type of visa?
* Have you worked in the USA before?
If yes, when and who was your employer or camp
* If you are interested in a longer coaching contract, please tick one of the following available times
