Summer Camp Employment Application

Employment Application

The YMCA is an equal opportunity employer and does not discriminate in recruitment, hiring or other terms or conditions of employment on the basis of race, color, religion, national origin, sex, disability, age or any other status protected by law.
Personal Information
Position(s) applying for*

Child Care: Summer Camp Tween CoordinatorChild Care: Summer Camp Counselor
Date available to start working*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Are you 18 years of age of older?*

YesNo (May be required to provide work authorization)
If hired, can you provide verification of your legal right to work in the United States?*

YesNo
Can you perform the essential functions of the job for which you are applying, with or without reasonable accommodation?*

YesNo
Notice to all applicants: The YMCA enforces its policies and practices to prevent child abuse. Allegations or suspicions or child abuse are taken very seriously at the YMCA and will be reported to the proper authorities for investigation. We have abuse reporting procedures, there are unscheduled visits from supervisors, we have an open door for parents and we have a code of conduct for staff. We minimize opportunities for abuse to occur and we talk with children about personal safety and touching limits. We also screen carefully to prevent abusers from being hired.

Employment Information
Please provide hours you are available to work on each day*
Preferred number of hours per week*
Have you been previously employed by this YMCA or any other YMCA?*

YesNo
If yes, when? At which locations?
Have you been previously volunteered at this YMCA or any other YMCA?*

YesNo
If yes, when? At which locations?
Do you have any relatives or household members currently working for this YMCA?*

YesNo
If yes, please provide name(s) and relationship

Education and Training
High School/GED
College
Graduate School
Vocational School/Other
Describe any non-employment experience such as school or volunteer activities that might strengthen your application.
Safety and Job Specific Certifications
Please list type, provider, level and expiration (ex: CPR, first aid, CDA, etc.)

Employment History
Employer 1
Employer 2
Employer 3

Personal References
Reference 1*
Reference 2*
Reference 3*

Application Acknowledgement & Authorization
How did you hear about this opening?

YMCA Staff ReferralYMCA MemberFacebookInstagramNewspaperWalk-InYMCA WebsiteOther
Please read all statements and indicate your acknowledgment below.
By signing below, you acknowledge your understanding that this application is only valid for the position applied for at present and that the YMCA is not obligated to retain or consider this application for future openings. If hired, you agree to abide by YMCA policies and rules at all times. You acknowledge that you have read the above statements and understand them.

Clear
Should be Empty:

Employment Application

Personal Information

Employment Information

Education and Training

Employment History

Personal References

Summer Camp Questions

Please indicate your skill/comfort level in the following areas:

Application Acknowledgement & Authorization