Application for Employment & High Access Volunteers
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  • MARSHALLTOWN YMCA-YWCA

  • EMPLOYMENT APPLICATION

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  • Have you ever worked for a YMCA?*
  • Were you referred here?

  • Job Skills & Training

  • References

    Must include 3 references, combination of personal and professional.

  • Reference 1

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  • Reference 2

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  • Reference 3

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

  • Employment History

    List positions held starting with the most recent.

     

  • If you are currently employed, may we check with your current employer?*

  • Employer 1 (most recent)

  • Dates of Employment From:
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  • To:
     - -

  • Employer 2

  • Dates of Employment From:
     - -
  • To:
     - -

  • Employer 3

  • Dates of Employment From:
     - -
  • To:
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  • 1. In the last 10 years, have you ever been discharged or suspended from employment for disciplinary reason or have you been asked to resign?*
  • 2. Have you ever been convicted of a crime, had adjudication withheld, or plead no contest to a crime?*
  • 3. Have you ever been convicted or had any administrative finding of violating any law involving child abuse, sexual abuse, physical abuse, child endangerment, sexual harassment or exploitation or any crime related to children?*
  • 4. Do you currently have any charges pending relating to any of the aforementioned?*
  • 5. If the position for which you are applying requires a valid driver's license, do you have one?*
  • Have your driving privileges been suspended or revoked in the past 3 years?*

  • Note: Answering "yes" to any of these questions may not necessarily disqualify you from the position you desire. Each action and explanation will be weighted/considered in relationship to the position for which you are applying.

  • Other Important Information

  • Please read carefully before submitting.

    Statement of Applicant

  • In the Marshalltown YMCA-YWCA’s effort to attract the highest quality staff and volunteers, I understand that as part of the application process for employment, an extensive inquiry will be made concerning my prior employment, activities, character, and health. I fully consent to and authorize such inquires. 

    In the event of my employment or volunteer service by the Y, I will comply with all policies set forth in the Marshalltown YMCA-YWCA Employee Handbook, Volunteer Handbook and with other policies that may be established by the organization.  I understand that my initial employment/volunteer service, in some specific positions, is contingent upon receipt of a report of a current physical examination made by a licensed physician/physician’s assistant, showing me to be in good health and free of contagious diseases.  Additionally, I authorize the Y to request my employment record from any former employer(s).  I further understand that inquiries may be made concerning myself, my background, experience and prior employment.  Inquiries or requests may be made by you or your representatives to any governmental agency, including law enforcement agencies or departments, or any other party with a legal and proper interest.  I hereby waive any right to claim that any request or investigation is an invasion of my privacy, since they are made with my consent and it is in my interest that I be considered for employment or volunteer service by the Marshalltown YMCA-YWCA.

    I certify that all statements by me on this application are true and complete to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably.  I understand and agree that any misrepresentation or omission of facts would exclude my being considered for employment or volunteer service, or after employment/volunteering, would be cause for termination of employment/volunteer service with the Marshalltown YMCA-YWCA.

    I understand and agree that if I am employed, there is no contract period for employment, and my employment would be solely “employment at will”, giving either me or the Y the right to terminate my employment at any time without liability or obligation, except for my regular pay through date of termination. 

  • I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THE ABOVE STATEMENTS AND THAT I VOLUNTARILY SIGN THIS EMPLOYMENT APPLICATION

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