St. Peters Athletic Association
19 Main Street
St. Peters, MO 63376
(636) 397-3149

Job applying for: Field Maintenance

Please print.

PERSONAL INFORMATION

Name________________________________________________________________

Present Address________________________________________________________

Phone Number_________________________________________________________
Home Cell

EMPLOYMENT DESIRED

Are you employed?______________________________ Salary Desired___________

When are you available?__________________________________________________

May we inquire with your present employer?__________________________________

Physical Record (Must be able to lift about 100 pounds)
Have you ever been injured?________ If so when________ What type of injury_______

In case of emergency______________________________________________________

FORMER EMPLOYERS (past two jobs) Years Employed

_______________________________________________________________________

_______________________________________________________________________

REFERENCES
Name Address Business Years Know

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________