APPLICATION FOR EMPLOYMENT

5 Arena Way

Council Bluffs, Iowa, 51501

712-322-1831

Iowa West Field House is an Equal Opportunity Employer. This Application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, s/he should contact a company representative.  

Fill out all of the sections below

Applicant Information

Applicant Name:
Mailing Address:
Primary Telephone Number:
Alternate Telephone Number:
Email Address:
Preferred Contact Method: (Phone / Email)
Date of Application: (mm/dd/yyyy)

Employment Position

Position(s) applying for:
How did you hear about the position(s)?
If hired, list date available to start work: (mm/dd/yyyy)

Personal Information

Are you a U.S. Citizen or approved to work in the United States? (As applies, must be able to present documents for proof of citizenship or legal status)

Mark one: Yes  No

Job Skills / Qualifications

List below the skills and qualifications you possess for the position in which you are applying.

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Note: Iowa West Field House complies with ADA and considered reasonable accommodation measures that may be necessary for eligible applicants / employees to perform essential functions. 

Education and Training

High School
Name	Location (City, State)	Year Graduated	Degree / Diploma Earned

College / University
Name	Location (City, State)	Year Graduated	Degree Earned

Vocational School    /	Specialized Training
Name	Location (City, State)	Year Graduated	Degree / Diploma Earned

Military

Are you a member of the Armed Services?	Yes    No
If yes, what branch of the military did you enlist?
What was your military rank when discharged?
How many years did you serve in the military?

Previous Employment (Starting with Current &/or Most Recent)

Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State, Zip Code:
Employer Telephone:
Dates Employed: (From / To)
Reason for Leaving:
May we contact this employer?	Yes    No

Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State, Zip Code:
Employer Telephone:
Dates Employed: (From / To)
Reason for Leaving:
May we contact this employer?	Yes    No

Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State, Zip Code:
Employer Telephone:
Dates Employed: (From / To)
Reason for Leaving:
May we contact this employer?	Yes    No

At-Will Employment

The relationship between employee and employer is referred to as “employment at will.” This means that should you be hired with this employer, your employment can be terminated at any time for any reason, with or without cause, with or without notice. This is also true of the employee should you choose to terminate employment with the employer and within the same “at-will” guidelines as the employer. 

No representative has authority to enter into any agreement cantray to the foregoing “employment at will” relationship. You understand that your employment is “at-will,” and you acknowledge that no oral or written statements or representations regarding your employment can alter your at will employment status, except for a written statement signed by you and the designated/ appointed staff member of the company (i.e. President, Owner, ext.).

By my signature below, I hereby confirm that all information provided is true, given to the best of my knowledge, and agree to its contests, including At-Will Employment.

Applicant Signature: _______________________

Date: __ /__ /_____