An Equal Opportunity Employer
Summer Youth and Adult Tennis Instructor Application
(Please print clearly)
Name___________________________________________
Social Security Number____________________________
Address_____________________________ State/City___________________________________ Zip_____________
Phone #____________________ Email____________________________________Birth Date___________________
Emergency contact person ________________________________________________
Phone # __________________
Have you ever been employed by the SFTA? __________
Position held and years employed ___________________
_______________________________________________________________________________________________
If you have been previously employed by the SFTA you may skip to the question about hours preferred.
Have you ever been convicted of a crime? YES_____ NO_____
(If yes, explain number of convictions(s), nature of offense(s) leading to conviction (s), how recently such offense(s) was/were committed, sentence imposed, and type(s) of rehabilitation.) ________________________________________________________________________________________________________________________________________________________________________________________________
Please list your Educational Record:___________________________________________________________________________________________________________________________________________________________________________________________
Employment History: Please list employers, starting with present or most recent.Employer_________________________________________________ Address_______________________________Phone_____________________________ Supervisor’s name and title_______________________________________Your Job Title and Responsibility__________________________________________ From date________ to_______Reason for leaving________________________________________________________________________________
May we contact employer: YES_______ NO______Employer_________________________________________________ Address_______________________________Phone_______________________________Supervisor’s name and title______________________________________Your Job Title and Responsibility__________________________________________ From date________ to_______
Reason for leaving________________________________________________________________________________
May we contact employer: YES______ NO_______
Please list two references other than relatives or previous employers
Name ________________________________ Name_____________________________________
Position_______________________________ Position___________________________________
Company______________________________ Company__________________________________
Address_______________________________ Address___________________________________
Telephone_____________________________ Telephone_________________________________
Please list your complete tennis history:
________________________________________________________________________________________________
_______________________________________________________________________________________________
______________________________________________________________________________________________
Would you prefer morning, afternoon or evening hours or no preference?_____________________________________
_______________________________________________________________________________________________
* The SFTA Summer Tennis Program will begin May 26, 2020 and conclude on August 16, 2020.
* You will be required to attend a six hour teaching workshop in May. Date TBA.
I acknowledge that all information here in is accurate. I also understand what will be required of me throughout the summer.
Signature____________________________________ Date_____________
If applicant is under age 18 parent signature required:
Signature ____________________________________ Date______________
Please mail your applications to:
Lydia Healy 404 W Lyncrest Trail Sioux Falls, SD 57108
Or
Email applications to: lhealy@dieselmachinery.com