JOB APPLICATION Please Type In, or Legibly Print All Information Date: _______________________

Last Name: __________________________ First Name: _________________ Middle Name: _______________

Address: ____________________________ Apt/Unit: _________

City: ________________________________ State: ________ Zip: ______________

Cell Phone #: __________________________ Home Telephone #: __________________________

Email Address: _______________________________ Preferred Contact Method: Home Phone Cell Phone Email

Are you under the age of 18?: Yes No If under 18, working papers or permit required.

Date you can begin work: ________________________

Salary or Hourly Rate expected: $__________________ per: year week hour

Have you ever been employed by us before? Yes No If Yes, Date: ____________________________

Are you currently employed? Yes No If Yes, by whom: ________________________

May we contact your current employer? Yes No

Are you legally authorized to work in the United States? Yes No(proof of eligibility to work in the U.S. must be provided if selected for hire)

MILWAUKEE KICKERS SOCCER CLUB 7101 W GOOD HOPE RD

MILW AUKEE W I 53223

Milwaukee Kickers Soccer Club is an Equal Opportunity Employer Job Application vMar2018

Times available to work: (please specify a.m. or p.m.)

M: _______ to _______ T: _______ to _______ W: _______ to _______ Th: _______ to _______ F: _______ to _______

Sat: _______ to _______ Sun: _______ to _______

You are available to work: Full Time Part Time Temporary

Position applied for: _______________________________________

After reviewing the functions of the job you are applying for, is there anything that would affect your ability to perform the duties of the job with our without reasonable accomodation? Yes No

If yes, please explain:__________________________________________________________________________________________________________________________________________________________________________________________

EDUCATION School Years Attended Major/Course of Study Did You Graduate?

High School: ______________________ 1 2 3 4 ___________________________ Yes No

College: _________________________ 1 2 3 4 ___________________________ Yes No

Technical/Other: __________________ 1 2 3 4 ___________________________ Yes No

PAST EMPLOYMENT List below all present and past employment, beginning with your most recent. All times must be accounted for whether employed or not. Attach an additional sheet if necessary.

From Mo/Yr

To Mo/Yr

Immediate Supervisor Name & Title

Last Salary (Hourly, Weekly, or Yearly)

Job Title: ______________________________

Employer Name: _______________________ Address: ________________________________ Phone: __________________

Duties: ____________________________________________________________________________________________________ __________________________________________________________________________________________________________

Reason for leaving: __________________________________________________________________________________________

From Mo/Yr

To Mo/Yr

Immediate Supervisor Name & Title

Last Salary (Hourly, Weekly, or Yearly)

Job Title: ______________________________

Employer Name: _______________________ Address: ________________________________ Phone: __________________

Duties: ____________________________________________________________________________________________________ __________________________________________________________________________________________________________

Reason for leaving: __________________________________________________________________________________________

From Mo/Yr

To Mo/Yr

Immediate Supervisor Name & Title

Last Salary (Hourly, Weekly, or Yearly)

Job Title: ______________________________

Employer Name: _______________________ Address: ________________________________ Phone: __________________

Duties: ____________________________________________________________________________________________________ __________________________________________________________________________________________________________

Reason for leaving: __________________________________________________________________________________________

Milwaukee Kickers Soccer Club is an Equal Opportunity Employer Job Application vMar2018

Do you currently hold any licenses or certifications, or have you taken any courses that are relevant to the position you are applying for? Yes No

If yes, please explain:__________________________________________________________________________________________________________________________________________________________________________________________

AFFILIATIONS Organizations in which you participate, or have participated, that you feel are relevant to your application. Consider school, business, professional or community affiliations.

School Business or Professional Organization Position Held Organization Position Held

________________________ ________________________ ________________________ ________________________

________________________ ________________________ ________________________ ________________________

________________________ ________________________ ________________________ ________________________

SKILLS Language Skills Language: __________________ Speak Read Write

( Fair Good Fluent) ( Fair Good Fluent) ( Fair Good Fluent)

Language: __________________ Speak Read Write ( Fair Good Fluent) ( Fair Good Fluent) ( Fair Good Fluent)

Office Skills Typing (WPM: ______) Microsoft Office Illustrator/Photoshop Web Design Email/Phone Communication

MILITARY Have you served in the U.S. Armed Services? Yes No Branch: ________________________

Briefly describe duties and skills acquired through military service (include dates): ________________________________________ ___________________________________________________________________________________________________________

PERSONAL REFERENCES: List three references who are not relatives or employers: Name: __________________________ Company: __________________ Phone: _________________________

Address: ______________________________________ Relationship: ____________________

City/ State/ Zip: ____________________________________________________________________________________

Name: __________________________ Company: __________________ Phone: _________________________

Address: ______________________________________ Relationship: ____________________

City/ State/ Zip: ____________________________________________________________________________________

Name: __________________________ Company: __________________ Phone: _________________________

Address: ______________________________________ Relationship: ____________________

City/ State/ Zip: ____________________________________________________________________________________

Milwaukee Kickers Soccer Club is an Equal Opportunity Employer Job Application vMar2018

APPLICANT’S STATEMENT AND CONDITIONS OF EMPLOYMENT

STATEMENT: Please add any additional information you may think helpful to your consideration for employment.

_____________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________

(Please read carefully before signing.)

I, the undersigned, agree that this organization may make any lawful inquiry that it considers necessary to determine my eligibility for employment. I authorize this organization to seek and obtain from my present and former employers, schools and personal references, information relating to my qualifications for employment. I release this organization and all persons and entities furnishing such information to this organization from any liability arising from dissemination or publication of such information.

I understand that any job offer with this organization is conditional upon my ability to establish employment eligibility under the Immigration Reform and Control Act of 1986.

If I am employed, I agree to adhere to all rules and regulation of this organization. I understand that such rules and regulations can be changed at the organization's discretion. I understand that my employment is at will and can be separated at any time, for any reason, with or without notice.

All information provided in this application and any accompanying resume is true and complete. I agree that any false or misleading representation or material omission may disqualify me from consideration for employment and may result in discharge, regardless of when discovered.

I have read and understand the foregoing and I agree unconditionally to the foregoing.

Applicant’s Signature: ____________________________ Date: ________________________

Milwaukee Kickers Soccer Club is an Equal Opportunity Employer Job Application vMar2018