5280 Gymnastics Job Application Page 2

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Personal References
Reference 1
Reference 2
Reference 3
Name
Address
City, ST, ZIP
Telephone
Signature
Date
Agreement of the Transfer of Information
I declare the information provided by me in this application is true, correct, and complete to the
best of my knowledge. I understand that if employed, any falsification, misstatement, or omission
of fact in connection with my application, whether on this document or not, may result in
immediate termination of employment. I authorize you to verify any and all information provided
above.
I acknowledge that employment may be conditional upon successful completion of a substance
abuse screening test as part of 5280’s pre-employment policy.
I acknowledge that if I become employed, I will be free to terminate my employment at any time
for any reason, and that 5280 retains the same rights. No 5280 representative has the authority to
make any contrary agreement.

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