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, 2018 and conclude on August 6, 2015. 

* 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