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  • Employment Application

    (EQUAL OPPORTUNITY EMPLOYER)
  • PLEASE READ BEFORE COMPLETING THIS APPLICATION

    This Association does not discriminate in the recruitment, hiring, and conditions of employment on the basis race, color, religion, sex, gender, gender identity, gender expression, national origin, ancestry, age, pregnancy, childbirth, medical conditions, military and veteran status, marital status, parenthood, physical and/or mental disability, genetic information, sexual orientation or any other characteristic protected by federal, state, or local law. No question on this application is intended to secure information to be used in a discriminatory manner. Your completed application will be reviewed carefully, but its receipt does not imply that you will be employed. Employment consideration necessitates that you meet all the minimum qualifications required for the position for which you are applying.

  • Personal Data

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  • General Information

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  • Employment

    List all positions you have held, beginning with your MOST RECENT. Include any self-employment and volunteer work. Upload any additional sheets necessary.
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  • Employment Continued

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  • Employment Continued

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  • Education

  • Education Continued

  • Education Continued

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  • Special Skills & Training

  • Describe any volunteer work, other experience, interest, training, or honors received in connection with your service to any organization which you consider relevant to your ability to perform the duties required for the position you are applying for.

  • References

    *2 Professional References and *1 Personal Reference (not family member)
  • Professional Reference 1

  • Professional Reference 2

  • Personal Reference (not family member)

  • PLEASE READ THE BELOW CAREFULLY

  • I hereby certify that the information provided on this application is accurate to the best of my knowledge and subject to verification by the ASYMCA.

  • I hereby authorize ASYMCA and its representatives to contact my prior employers and all others identified (with the exception of individuals and/or entities I have marked “No” in response to “May we contact?”) for the purpose of verification of the information I have supplied. I authorize the schools, persons, previous employers, agencies and other organizations named in this application to provide ASYMCA (its authorized employees, agents or representatives) with any relevant information that may be required to arrive at an employment decision and hereby release any such schools, persons, employers, agencies, and organizations from any and all liability which they might otherwise incur as a result. I understand that any misrepresentation or omission of a material fact on my application may be justification for refusal of employment.

  • In the event of my employment, I will comply with all rules and regulations as set forth in ASYMCA’s policy manual or other communications distributed to employees, and understand a condition of my continued employment will be my compliance with the ASYMCA’s controlled substance abuse and testing policy, where permissible under applicable State and Local law. I have read, understand, and support the ASYMCA’s position on the problem of child abuse.

  • PLEASE READ THE BELOW CAREFULLY

  • I also understand, where permissible under applicable State and Local law, that my employment may be conditional upon my satisfactorily passing a physical examination and /or drug screening, if requested, to be given by a physician or registered nurse or similar vendor selected by the ASYMCA, and until other documents required by law are completed, and until information given by me has been verified.

  • I further understand, where permissible under applicable State and Local law, I may be subject to a pre-employment background check after receiving a conditional offer of employment to investigate my criminal background, driving record, credit history, and other matters related to my suitability for employment. I also understand, where permissible under applicable State and Local law, that depending upon my position, ASYMCA reserves its right to conduct random credit and background checks during the course of my employment. I understand that a separate disclosure and consent form will be provided to me prior to any background check.

  • I understand that completion of this form does not guarantee me status as an applicant or any consideration for employment unless I meet all stated minimum qualifications required of the position for which I am asking to be considered.

  • PLEASE READ THE BELOW CAREFULLY

  • I understand employment with ASYMCA is also contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.

  • I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual consent and may be terminated at will, with or without cause, by either party (ASYMCA or me) without prior notice to the other, unless otherwise prohibited by law.

  • MY SIGNATURE IS EVIDENCE THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS.

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