Application for Employment

Ultimate U Total Health values diversity. We are committed to equal opportunity employment and providing a work environment free of all forms of unlawful discrimination and harassment.

To meet this goal, all associates and prospective associates are recruited, selected and trained based on personal capabilities, experience and qualifications without regard to age, sex, race, color, religion, citizenship, marital status, disability, genetic information, national origin, ancestry, sexual orientation, gender identity, veteran or military status, or any other legally protected status.

Personal Information

Type of phone *
Type of phone *
Are you seek full or part-time employment? *
Have you applied to our company previously? *
Are you legally authorized to work in the United States? *
Are you over the age of 18? *
Can you perform the essential functions of the position for which you are applying? *



To be a candidate for this position, you would need to be able to work Mondays from 5:30 am to at least 9 am. Are you able to work this shift? *
To be a candidate for this position, you would also need to be able to work at least one of the following shifts. Please check the shifts you would be able to work below. *
Please check any additional OPENING shifts would you be available to work? *
Please check any additional MID-DAY shifts would you be available to work? *
Please check any additional CLOSING shifts would you be available to work? *
Weekday shift preference: *

Tell us About Yourself

Employment History

Employer 1
May we contact? *
Employer 2
May we contact?
Employer 3
May we contact?


Reference 1
Reference 2

Additional Information

Do you have any relatives or friends who work for Ultimate U? *

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and I authorize Ultimate U Total Health to verify their accuracy and to obtain reference information regarding my work performance. I hereby release Ultimate U Total Health from any and all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision on such information. I undertand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause. *
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