Job Application

 

Personal Information
  • All names must be entered exactly as they appear in your passport for immigration purposes.
  • All dates must be entered in mm/dd/yyyy format.
First Name * Middle Name * (if you have one)
Last Name * Position applied for *
  I am also interested in full time positions with PTUSA
Sex * Male Female Marital Status
Birth Date * mm/dd/yy Citizenship if other
Driver * No Yes Learning Driving Record
Home Address Information
Home Address * Line 2
City * County/State *
Post Code/Zip * Country * if other
Home Phone or Email *
Cell Phone * Confirm Email *
College / University Address Information (If applicable)
Term Address Line 2
City County/State
Post Code/Zip Country if other
Term Phone Email
Further Education: Degree (if applicable)   (if current, please indicate)
College/University Dates attended
Course
Qualifications
Further Education: Post Graduate (if applicable)   (if current, please indicate)
College/University Dates attended
Course
Qualifications
Soccer Coaching Qualifications (e.g. UEFA C License etc.)
Qualification Year obtained (yyyy)
Qualification Year obtained
Qualification Year obtained
Other Sports Coaching Qualifications (We also host Multi-Sports Camps)
1st Sport Qualification Years experience
2nd Sport Qualification Years experience
Current Occupation   (if not currently employed enter 'N/A')
Current Position * Since
Employer
Duties
250 max
Other Relevant Work / Coaching Experience (in UK and/or USA)
1st Position Start/End Dates
Organization
Duties
250 max
2nd Position Start/End Dates
Organization
Duties
250 max
Other Relevant Experience (Technology, Sales, Communications, Public Relations etc.)
1st Skill Years Experience
Please explain
250 max
2nd Skill Years Experience
Please explain
250 max
Reason for applying
Briefly explain your reason for applying for a position with PTUSA.
Please explain *
500 max
What unique skills do you think you can bring to PTUSA?
Please explain *
500 max
Passport / Immigration details
Passport No. Country of Issue if other
Issue Date mm/dd/yy Expiration Date mm/dd/yy
Have you ever been refused entry to the USA? * Yes No (If yes, please describe below)
Have you ever been refused a Visa for the USA? * Yes No (If yes, please describe below)
Do you have any current criminal convictions? * Yes No (If yes, please describe below)
Have you ever been accused of, or involved in an incident
involving the sexual or physical abuse of a child? *		 Yes No (If yes, please describe below)
Please describe
250 max
Health Information
Do you smoke? * Yes No
Have you ever had any serious or permanent debilitating
illness / limitations? *		 Yes No (If yes, please describe below)
Are you currently undergoing any medical treatment? * Yes No (If yes, please describe below)
Do you currently take any prescription medication? * Yes No (If yes, please describe below)
Do you have any allergies? * Yes No (If yes, please describe below)
Please describe
250 max
Contact information of professional reference  
Name * Association
Phone or Email *
How did you hear about PTUSA?
Job Source * Referred By
Declaration
*   I confirm that the information given on this form is to the best of my knowledge true and correct, any false statement may be sufficent cause for resignation or dismissal.
 

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