Loading...

IBEX Climbing Gym, LLC
801 NW South Outer Rd, Blue Springs, Missouri 6401
816-228-9988

IBEX Climbing Gym, LLC 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, he or she should contact a company representative.

Please fill out all of the sections below:

First Applicant Name
First Name*
Middle Name
Last Name*
Phone*
First Applicant Date of Birth*
Date of Birth
First Applicant Signature*
Second Applicant Name
First Name*
Middle Name
Last Name*
Applicant Date of Birth*
Date of Birth
Third Applicant Name
First Name*
Middle Name
Last Name*
Applicant Date of Birth*
Date of Birth
Fourth Applicant Name
First Name*
Middle Name
Last Name*
Applicant Date of Birth*
Date of Birth
Fifth Applicant Name
First Name*
Middle Name
Last Name*
Applicant Date of Birth*
Date of Birth
Sixth Applicant Name
First Name*
Middle Name
Last Name*
Applicant Date of Birth*
Date of Birth
Seventh Applicant Name
First Name*
Middle Name
Last Name*
Applicant Date of Birth*
Date of Birth
Eighth Applicant Name
First Name*
Middle Name
Last Name*
Applicant Date of Birth*
Date of Birth
Ninth Applicant Name
First Name*
Middle Name
Last Name*
Applicant Date of Birth*
Date of Birth
Tenth Applicant Name
First Name*
Middle Name
Last Name*
Applicant Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Applicant Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Employment Position:
Position(s) applying for: *
How did you hear about this position? *
What days are you available for work? *
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

What hours or shift are you available for work? *
On what date can you start working if you are hired? *
Do you have reliable transportation to and from work?*
No
Yes
Personal Information
Are you a U.S. citizen or approved to work in the United States?*
No
Yes
Are you 18 years of age or older*
Yes
No
What documentation can you provide as proof of citizenship or legal status? *
Have you ever been convicted of a criminal offense(felony or misdemeanor)?*
Yes
No
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)


Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying: *

(Note: IBEX Climbing Gym, LLC complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training
Highschool Name, Location (City, State), Year Graduated, Degree Earned
College/University Name, Location (City, State), Year Graduated, Degree Earned
Vocational/Specialized Training School name, Location (City, State), Year Graduated, Degree Earned
Military:
Are you a member of the Armed Services?*
Yes
No
What branch of the military did you enlist?*
None
The Army
The Marine Corps
The Navy
The Air Force
The Space Force
The Coast Guard
What was your military rank when discharged?
How Many years did you serve in the military?

What military skills do you possess that would be an asset for this position?
Previous Employment: Number 1
Employer Name:
Job Title:
Supervisors Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:
Previous Employment: Number 2
Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:
Previous Employment: Number 3
Employer Name:
Job Title:
Supervisor Name:
Employer Address:
City, State and Zip Code:
Employer Telephone:
Dates Employed:
Reason for leaving:
AUTHORIZATION AND ATTESTATION:

Signature and date required attesting that all representations are true, and authorization to check references and criminal conviction records. I attest to the accuracy and truthfulness of the information provided, and I understand that falsification or omission of any information on this application could result in my disqualification from further consideration in the selection process, or, if hired, termination of my employment. I agree to a thorough background investigation by IBEX and to release IBEX Directors and employees from all liability and of all persons and corporations requesting or supplying such information. I authorize IBEX to contact my cited references and any developed uncited references to make inquiries concerning my current and past employment.

AT-WILL EMPLOYMENT

The relationship between you and IBEX Climbing Gym, LLC is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or IBEX Climbing Gym, LLC. No representative of IBEX Climbing Gym, LLC has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that 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 either our Executive Vice-President/Chief Operations Officer or the Company's President.  

 


Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE! and  Rock Gym Pro