MetroWest YMCA Employment Application

Hopkinton Summer Camp

MetroWest YMCA Employment Application
Thank you for your interest in the YMCA!

We consider ecah application without regard to age, race, gender, color, religious creed, national origins, sexual orientation, criminal record, mental illness, handicap, disability, marital status, or any other legally protected status pursuant to relevant federal, state, and local laws. Reasonable accomodations will be made for applicants with disabilities and qualified new hires.

This application is specifically for summer employment at the
MetroWest YMCA Family Outdoor Center Day Camp in Hopkinton.

Hopkinton Summer Aquatics is a seperate application.

If completing this application on a mobile phone, turn to landscape.
Personal Information

MetroWest YMCA Hopkinton Camp
Name *

First Name Last Name
Position Applying For: *
Email *
example@example.com

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cell Phone *

Area Code Phone Number
Home Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Previous Residence if less than five (5) years at current address:
Best Method to Reach You *

Cell Phone Home Phone Work Phone Email
Best Time to Reach You *
Day(s) of Week? Time of Day?
NOTICE TO APPLICANT: THE METROWEST YMCA MAINTAINS "ZERO TOLERANCE" FOR 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 all staff.

Screening tests for alcohol and illegal drug use may be required before hiring and during employment

Employment History

Provide the following information of your past and current employees or assignments, starting with the most recent.
Other than below employer(s), what other business experience, personal experience, or training have you had that may have prepared you for this position
Please explain any gaps in your employment history
How many prior employers do you plan to list below? *
Sets how many open fields will appear below

2) Second Employer
Employer
Address
Phone
Starting / Final Job Title
Wage / Salary Rate
Dates Employed: Start & End Date
Supervisor & Title
Reason for Leaving
May we contact this employer for a reference?

Yes No
Summarize the Nature of the Work performed and job responsibilities

3) Third Employer
Employer
Address
Phone
Starting / Final Job Title
Wage / Salary Rate
Dates Employed: Start & End Date
Supervisor & Title
Reason for Leaving
May we contact this employer for a reference?

Yes No
Summarize the Nature of the Work performed and job responsibilities

4) Fourth Employer
Employer
Address
Phone
Starting / Final Job Title
Wage / Salary Rate
Dates Employed: Start & End Date
Supervisor & Title
Reason for Leaving
May we contact this employer for a reference?

Yes No
Summarize the Nature of the Work performed and job responsibilities

References

Persons that know you well and can attest to your abilities and suitability for employment.
Required:

One (1) Family Member / Relative

The remaining are character references: adults, 18yo+ who have known you for at least one year.

Please provide a valid email for each reference and a best phone number as additional contact. Inform your references to look for an email from the hiring director and to respond as soon as possible. Click on each reference below to open the field.

1 - Family Member / Relative (Req'd)
Name *

First Name Last Name
Email *
example@example.com
Best Phone # *

Area Code Phone Number
Alternate Phone #

Area Code Phone Number
Relationship To You *
Years Known *

2 - Character Reference (Req'd)
Name *

First Name Last Name
Email *
example@example.com
Best Phone # *

Area Code Phone Number
Alternate Phone #

Area Code Phone Number
Position *
Years Known *

3 - Character Reference (Req'd)
Name *

First Name Last Name
Email *
example@example.com
Best Phone # *

Area Code Phone Number
Alternate Phone #

Area Code Phone Number
Position *
Years Known *

4 - Character Reference (Req'd)
Name *

First Name Last Name
Email *
example@example.com
Best Phone # *

Area Code Phone Number
Alternate Phone #

Area Code Phone Number
Relationship To You *
Years Known *

5 - Character Reference
Name *

First Name Last Name
Email *
example@example.com
Best Phone # *

Area Code Phone Number
Alternate Phone #

Area Code Phone Number
Relationship To You *
Years Known *

Application Acknowledgement and Authorization

Review each statement below. Acknowledge and Authorize by typing your initials after each statement.
Accurate Information
I certify that all information I have provided in order to apply for and secure work with the MetroWest YMCA is true, complete and correct, and I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the MetroWest YMCA’s service, whenever it is discovered.
Initial to Acknowledge *
Reference Acknowledgement
I expressly authorize, without reservation, the MetroWest YMCA, its representatives, employees or agents to contact and obtain information from all references (personal and professional) employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resumé or job interview. I hereby waive any and all rights and claims I may have regarding the YMCA, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations, organizations for furnishing such information about me. I am aware that I have the right to make a written request for disclosure of the nature and scope of any report that may be ordered.
Initial to Acknowledge *
Background Checks & Screening Acknowledgement
I understand upon offer of employment, the YMCA will conduct a criminal background check prior to and during my employment as well as a child abuse registry check and I am subject to random, accident follow-up, and for cause drug testing, as well as post offer drug screening contingent on
employment.
Initial to Acknowledge *
Child Safety Statement
I am not a child molester, abuser or pedophile; and have not been accused of being a molester or abuser.
Initial to Acknowledge *
Equal Opportunity Employment
I understand that the YMCA does not discriminate in hiring or employment on the basis of race, veteran’s status, religious creed, national origin, sexual orientation, gender identity, ancestry or age; or on the basis of a handicap not limiting the applicant’s ability to perform satisfactorily the job available. The YMCA will give this application every reasonable consideration. However, in accepting it, the YMCA makes no commitment of employment to the applicant.
Initial to Acknowledge *
Application & Employment At Will
I understand that this application remains current for only 60 days. At the conclusion of that time, if I have not heard from the YMCA and still wish to be considered for employment, it may be necessary to reapply and fill out a new application. Employment with the YMCA is employment at will which means that employees may end their employment at any time, for any reason; and that the employer (the YMCA) may terminate employees at any time for any reason, with or without cause.
Initial to Acknowledge *
I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard, and

My signature below certifies that I have read, fully understand and accept all terms of the foregoing applicant statement.
Signature
Should be Empty:

Hopkinton Summer Camp

Personal Information

Employment Information

Education & Training

Employment History

References

Application Acknowledgement and Authorization