Apply to be a Stretch-n-Grow Coach!

Position(s) Applying For * Fitness Coach Cheerleading Coach Creative Dance & Ballet Instructor Sports Skills Coach

Personal Information
Full Name *
Street Address *
City *	State * Zip Code *
Home Phone *
Cell Number
Email
Are you at Least 18 years of age *	Yes No
Have you ever been convicted of a felony or subjected to a deferred adjudication on a felony charge? *	Yes No

Education
Did you graduate from high school or receive GED? *	Yes No

Name of College/University
Dates Attended
Type of Degree
Major
Actual or Expected Graduation Date

Name of College/University
Dates Attended
Type of Degree
Major
Actual or Expected Graduation Date

Name of College/University
Dates Attended
Type of Degree
Major
Actual or Expected Graduation Date

References List references who are NOT related to you and are NOT previous supervisors.
Reference Name
Type of Reference
Telephone
E-mail Address

Reference Name
Type of Reference
Telephone
E-mail Address

Reference Name
Type of Reference
Telephone
E-mail Address

Employment History List starting with the present/most recent employer
Employer
Employer Address
Supervisor
Employer Telephone
Dates Employed
Salary
Position
Duties
Hours Worked	Full Time Part Time
Hours Per Week
May we contact for references?	Yes No
Reason for leaving

Employer
Employer Address
Supervisor
Employer Telephone
Dates Employed
Salary
Position
Duties
Hours Worked	Full Time Part Time
Hours Per Week
May we contact for references?	Yes No
Reason for leaving

Employer
Employer Address
Supervisor
Employer Telephone
Dates Employed
Salary
Position
Duties
Hours Worked	Full Time Part Time
Hours Per Week
May we contact for references?	Yes No
Reason for leaving

What date are you available to begin work?
What days/times are you unable to work?
Are you currently CPR certified?	Yes No
Are you currently 1st Aid Certified?	Yes No
Have you had a TB test within the last year?	Yes No
How many hours do you want/need?
What are your financial considerations?
What would you use for transportation?

What will your past employers or character references tell us about you and your work ethic?
Tell about yourself
What is your teaching experience
What is you experience with children
What is your experience with physical fitness
Why do you want to be a childrens fitness instructor
Are you more whimsical and creative or organized and structured? Explain

Working for Stretch-n-Grow requires special talent! Check YOUR TOP 3 talents IN EACH CATEGORY you feel like you have. Please read carefully and think about your answers.
Striving Talents these explain your “whys” - why you are motivated to push & push a little harder.
Achiever -a drive that is internal, constant, self-imposed Kinesthetic -a need to expend physical energy Stamina -capacity for physical endurance Competition -a need to gauge your success comparatively Desire -a need to claim significance through independence, excellence, risk, and recognition Competence -a need for expertise or mastery Belief -a need to orient your life around certain prevailing values Mission -a drive to put your beliefs into action Service -a drive to be of service to others Ethics -a clear understanding of right and wrong, which guides your actions Vision -a drive to paint value-based word pictures about the future

Thinking Talents these explain your “hows” - how you think, how you weigh up alternatives, and how you come to your decisions.
Focus -an ability to set goals and to use them every day to guide actions Discipline -a need to impose structure onto life and work Arranger -an ability to orchestrate Work orientation -a need to mentally rehearse and review Gestalt -a need to see order and accuracy Responsibility -a need to assume personal accountability for your work Concept -an ability to develop a framework by which to make sense of things Performance Orientation -a need to be objective and to measure performance Strategic thinking -an ability to play out alternative scenarios in the future Business thinking -the financial application of the strategic thinking talent Problem solving -an ability to think things through with incomplete data Formulation -an ability to find coherent patterns within incoherent data sets Numerical -an affinity for numbers Creativity -an ability to break existing configurations in favor of more effective/appealing ones

Relating Talents these explain the “whos” - with whom you build trust, relationships, confront, and ignore.
Woo -a need to gain the approval of others Empathy -an ability to identify the feelings and perspectives of others Relator -a need to build bonds that last Multirelator -an ability to build an extensive network of acquaintances Interpersonal -an ability to purposely capitalize upon relationships Individualized perception -an awareness of and attentiveness to individual differences Developer -a need to invest in others and to derive satisfaction in so doing Stimulator -an ability to create enthusiasm and drama Team -a need to build feelings of mutual support Positivity -a need to look on the bright side Persuasion -an ability to persuade others logically Command -an ability to take charge Activator -an impatience to move others to action Courage -an ability to use emotions to overcome resistance

PLEASE READ CAREFULLY - By clicking the box below, I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete, and I understand that any misstatement, falsification, or omission of information may be grounds for refusal to hire or, if hired, termination. I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the U.S. I authorize investigation of my previous employers and my personal background and release all parties from all liability for any damage that may result in furnishing information to you. Certify Information is Correct *