YMCA Employment Application

Employment Application

Please complete this application to be considered for employment with the Washington County Family YMCA.
The YMCA is an equal opportunity employer and does not descriminate in recruitment, hiring, or other terms and conditions of employment based on race, color, religion, national origin, sex, disability, age or any other status protected by law.

Notice to All Applicants:

The YMCA enforces its policies and practices to prevent child abuse.
Allegations or suspicions of 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 and we provide child abuse prevention training to staff.

About this Application:

To complete this application you will need your work history details during the past seven years, contact details for three personal references and your educational attainment details.

Instructions:

You will not be able to save your application (only submit it). Please click on an arrow icons to expand or close sections of this form. Estimated time to complete the application is 10 minutes. Your personal details will be encyrpted upon form submission for your privacy.

Your Contact Details
Name*

First NameMiddle NameLast Name
Email*
example@example.com
Primary Phone Number*
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

About You
Are you 18 years of age or older?*

YesNo
If hired, can you provide verification of your legal right to work in the USA?*

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

YesNo
Have you ever been convicted of a crime, pled no contest, or had adjudication withheld?*

YesNo
Please provide more information on this item.

YMCA Engagement
Have you previously been employed at this YMCA or another YMCA?*

YesNo
Please provide more information on this item (including YMCA location and dates) .
Have you previously volunteered at this YMCA or another YMCA?*

YesNo
Please provide more information on this item (including YMCA location and dates) .
Do you have any relatives or household members that are currently employed at the Washington Co. Family YMCA?*

YesNo
Please provide more information on this item (including names of relatives/household members working at the YMCA) .

Personal References
Do not list family members or previous employers as references.
Reference #1 Name*

First NameLast Name
Reference #1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference #1 Phone Number*
Please enter a valid phone number.
Reference #1 Occupation*
Reference #1 - How many years have you known this person?*
Reference #2 Name*

First NameLast Name
Reference #2 Name*

First NameLast Name
Reference #2 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference #2 Phone Number*
Please enter a valid phone number.
Reference #2 Occupation*
Reference #2 - How many years have you known this person?*
Reference #3 Name*

First NameLast Name
Reference #3 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference #3 Phone Number*
Please enter a valid phone number.
Reference #3 Occupation*
Reference #3 - How many years have you known this person?*

Document Uploads
Upload a copy of your resume (optional)

Accepted file types - DOC / DOCX / PDF - Maximum File Size 10MB
Cancelof

Miscellaneous
How did you hear about this job opportunity*

YMCA Staff ReferralYMCA Member ReferralSchoolWalk-InYMCA WebsiteAdvertisementOther
Please provide more information on your answer of "other"

Application Agreement and Signature
I authorize both the YMCA and persons listed (references, schools, current (unless noted) and former employers and any others with whom you desire to check) to communicate with regard to any relevant information that may be required to reach an employment decision. I agree to hold such persons harmless with respect to any information they may supply. I understand and agree that any offer of employment is contingent upon successful completion of all background check processes, including a criminal history background check.

I certify that all information provided by me in this application is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts in this application or any other document submitted in connection with YMCA employment will result in denial of employment or termination of employment regardless of the timing or circumstances of discovery.

If I am employed by the YMCA I understand my employment can be terminated, with or without cause and with or without notice, at any time at the option of the YMCA or myself. I understand that, other than the CEO or the AED of the YMCA, no manager, supervisor or representative of the YMCA has authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

Only the CEO and Associate Executive Director of the Washington County Family YMCA has the authority to make any agreement contrary to the foregoing and then only in writing. I further expressly agree that, with respect to the at-will employment relationship, this constitutes the full, complete and final expression of the parties' intent concerning the nature of any employment relationship between myself and the YMCA.

I understand that all offers of employment are conditional upon my ability to provide appropriate documents regarding my identity and legal right to work in the United States. I understand 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, I agree to abide by YMCA policies and rules at all times. I acknowledge that I have read the above statements and understand them.
Signature*

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Next Steps:

When you have completed all of the relevant form fields click on the "Submit Your Application" button once.

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