The University of Texas at Austin • Division of Recreational Sports • Employment Application
The University of Texas at Austin does not discriminate on any basis prohibited by applicable law including race, color, religion, sex, national origin, disability, age, citizenship
status, veteran or disability status in recruitment, promotion, compensation, benefits or training. It is also the University’s policy to maintain a work environment free from
discrimination on the basis of sexual orientation. The information on the application, along with any attachments, is the property of the University.
PERSONAL INFORMATION
DATE:
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LA S T
UT EID:
LAST NAME
FIRST NAME
M.I.
STREET ADDRESS
CITY
STATE
D.O.B (IF BELOW AGE 18):
ZIP
/
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E-MAIL
PHONE
ARE YOU CURRENTLY EMPLOYED AT UT AUSTIN?
Yes
No
IF “YES”:
DEPARTMENT
TITLE
HOURS/WEEK
If you are related by kinship or marriage to any current employee or member of the Board of Regents of The University of Texas System, provide their name, relationship & department.
Yes
No
DRIVER’S LICENSE TYPE:
COMMERCIAL
OPERATOR
NONE
IF A CURRENTLY
ENROLLED STUDENT:
NUMBER OF CREDIT HOURS CURRENTLY ENROLLED IN
ACADEMIC CLASSIFICATION
F IR S T
ARE YOU ELIGIBLE TO WORK IN THE U.S.?
ANTICIPATED GRADUATION SEMESTER/YEAR
COLLEGE/SCHOOL
MAJOR
EDUCATION
HIGHEST LEVEL COMPLETED:
HIGH SCHOOL
GED
ASSOCIATE
BACHELORS
OTHER
Please list your past two previous schools attended starting with the most recent.
LOCATION
DATES ATTENDED
SCHOOL NAME
LOCATION
DATES ATTENDED
M ID D L E
SCHOOL NAME
WORK HISTORY
You may list both paid & non-paid positions. Include any previous UT Austin work experience.Please list most recent experience first.
Attach additional information/resume if necessary.
EMPLOYER
NAME & LOCATION OF EMPLOYER
SUPERVISOR’S NAME
POSITION
SUPERVISOR’S PHONE
END DATE
START DATE
STARTING/ENDING PAY
/
NO. OF HOURS WORKED WEEKLY
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REASON FOR LEAVING
EMPLOYER
NAME & LOCATION OF EMPLOYER
SUPERVISOR’S NAME
POSITION
SUPERVISOR’S PHONE
END DATE
START DATE
STARTING/ENDING PAY
/
REASON FOR LEAVING
(CONTINUED ON OTHER SIDE)
NO. OF HOURS WORKED WEEKLY
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REFERENCES
NAME
RELATIONSHIP
PHONE/E-MAIL
NAME
RELATIONSHIP
PHONE/E-MAIL
RECREATIONAL SPORTS EMPLOYMENT INTEREST
WHEN ARE YOU AVAILABLE TO BEGIN WORKING:
POSITIONS INTERESTED IN
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AVERAGE NO. OF HOURS AVAILABLE TO WORK EACH WEEK:
(*STUDENT STATUS NOT REQUIRED):
I am open to employment with RecSports in any position.
OR
Check the specific position(s) you are interested in:
Computer Technician
Intramural Supervisor
Gregory Gym
Field/Tennis Supervisor
Lifeguard
Recreational Sports Center
Group Exercise Instructor*
Outdoor Equipment Manager
No Preference
ICB Program Assistant
Personal Trainer*
Intramural Official
Photographer
Activity Supervisor
Adventure Trip Guide*
Aquatic Instructor*
Basketball
Runner (Messenger)
Cashier
Flag Football
Safety Certification Instructor*
Clerical Assistant
Soccer
Sport Club Supervisor
Climbing Wall Instructor*
Softball
Other______________________________
Climbing Wall Supervisor
Volleyball
Please list any specific skills or experience you have that may be relevant to the position for which you are applying.
Please list any certifications you currently hold. Include certifying agency & expiration dates.
I certify that all of the information provided by me in connection with my application, whether on this document or not, is true & complete, & I understand that any misstatement,
falsification, or omission of information shall be grounds for refusal to hire, or if hired, termination. I understand any current or former employment at The University of Texas at
Austin (UT Austin) must be disclosed on my application. I understand that any offer of employment is contingent upon my agreement to abide by the rules & regulations of the
Board of Regents of The University of Texas System.
I hereby authorize UT Austin or any law enforcement agency to furnish to UT Austin my criminal conviction record for a deferred adjudication, misdemeanor or felony offense at
age 17 or older. I do hereby release all agents, servants, & employees of UT Austin, the person in charge of such law enforcement agency or department & all members of such law
enforcement agency or department from all liability resulting from the furnishings of this information to UT Austin.
I authorize UT Austin to communicate with persons listed as references, former employers, & any others whom you desire to check. I agree to hold such persons harmless with
respect to any information they may give about me.
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SIGNATURE OF APPLICANT
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DATE
UT Austin is required to reach out to hire & provide equal opportunity to veterans & individuals with disabilities. To help us measure how well we are doing, we are asking you to provide the following confidential information online
at: https://utdirect.utexas.edu/jobs/confidential.WBX
• Birth date, Ethnicity & Race, Gender
• Voluntary Self Identification of Disability
• Federal Veteran Information Invitation to Self-Identify
This information is for reporting purposes only & is not part of the job application. You are not obligated to identify whether you are a person with a disability or whether you are a protected veteran, but we do hope you will choose
to provide this information. Your answers will not be used against you in any way.