YMCA OF THE FOX CITIES EMPLOYMENT APPLICATION

Transcription

1 YMCA OF THE FOX CITIES EMPLOYMENT APPLICATION Thank you for your interest in the YMCA! 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. If you would like to apply to join the YMCA staff team, please complete the application below. Be sure to write legibly The application must be completed in full. Do not leave any spaces blank or write see resume in response to any question. Read and sign this application. Location(s) applying to: Corporate Office Appleton YMCA Apple Creek YMCA Camp Nan A Bo Sho Fox West YMCA Heart of the Valley YMCA Neenah-Menasha YMCA Personal Information Position Applying For: Date: NAME: Last First MI : _ Street City State Zip : Home Mobile Are you 18 years of age or older? (If not, you may be required to provide work authorization.) If hired, can you provide verification of your legal right to work in the United States? Have you ever been convicted of a crime, pled no contest or had adjudication withheld? If yes, please provide a date, location, charges and a complete explanation of all offenses. (Divulging any arrest or conviction records will not automatically lead to disqualification of an application. In addition an arrest or conviction will not necessarily bar employment. The YMCA may consider the nature, date and circumstances of the offenses if such is substantially related to the position the applicant has applied for. However, failure to provide complete and accurate information relating to arrest and criminal convictions as well as untruthful responses can result in disqualification andor termination from employment with the YMCA of the Fox Cities. Applicants should anticipate that we will conduct a criminal record check on all employees. Employment is contingent upon the results of the criminal background check.)

2 tice to All Applicants: The YMCA enforces its policies and practices to prevent child abuse. As an employer, the YMCA requires its staff to follow child abuse or neglect reporting procedures. The YMCA will train employees in identifying children who have been abused or neglected and in the laws, procedures, and YMCA policy governing the reporting of suspected or threatened child abuse and neglect. Employees are required to report suspected child abuse or neglect to the YMCA administration. Allegations of child abuse or suspicious behavior related to supervision or interaction with children will be investigated and reported to the proper authorities. The YMCA will work to minimize opportunities for abuse to occur and will employ unsupervised visits by supervisors, conduct an open door policy for parents, and enforce a code of conduct for staff. The YMCA will educate children in our programs about personal safety and touching limits. The YMCA is committed to carefully reviewing our applicants for employment. By signing below, I acknowledge and understand as an employee of the YMCA, I am not allowed to fraternize with YMCA youth members or participants outside of YMCA programs, and I am not allowed to babysit such children or invite them to my home. Any exceptions to these policies must be approved in writing by my supervisor with such exception and written approval to be maintained on file with the YMCA. Signature Date: Employment Information List available dayshours: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Preferred Job Status: Full-time Part-time Seasonal As Needed Have you previously been employed by this YMCA or any other YMCA? If yes, when? At which locations? Have you previously volunteered at this YMCA or any other YMCA? If yes, when? At which locations? Do you have any relatives or household members currently working for this YMCA? If yes, name(s) and relationship: How did you hear about this opening? YMCA staff referral YMCA member Name of referral source: School Advertisement Walk-in Other YMCA website Education & Training Educational Background Name of School City, State Diploma Awarded Degree Major High School GED College Graduate School Vocational Other Describe any non-employment experience such as school or volunteer activities that might strengthen your application:

3 Safety & Job Specific Certifications Type (CPR, First Aid, CDA, etc.) Provider Level Expiration Employment History List all previous employment during the past seven years starting with the most recent. Use additional sheets if needed. From: May we contact this employer? May we contact this employer? May we contact this employer? May we contact this employer? From: From: From:

4 Please explain any gaps in your employment history. What other business experience, personal experience or training have you had that may have prepared you for this position? Personal References Do not list relatives : City: State: Zip: Phone: Alternate #: : City: State: Zip: Phone: Alternate #: : City: State: Zip: Alternate#: Phone:

5 Application Acknowledgement and Authorization Please read all statements and sign below: In the YMCA of the Fox Cities' efforts to attract the highest quality staff, I have been advised and understand an extensive inquiry will be made as to my prior employment, education and any criminal background as part of the application process for employment. By signing below, I hereby fully consent to and authorize all such inquires. I agree to hold harmless persons supplying information in response to such inquiry. I understand and agree any employment by the YMCA is contingent upon the completion of the background check processes, including the criminal history background check. I certify all information I have provided in this application is correct, accurate and complete to the best of my knowledge. I understand the falsification, misrepresentation or omission of any facts in this application or any other document submitted in connection with YMCA employment will exclude me from being considered for employment or, after starting employment, may result in the immediate termination of my employment with the YMCA of the Fox Cities. If I am employed by the YMCA, I understand I am an employee at will, meaning my employment may be terminated, with or without cause, with or without notice, at any time at the option of either the YMCA, or myself. I understand no manager, supervisor or representative of the YMCA has authority to enter into any agreement for my employment for any specific period of time, other than the CEO of the YMCA of the Fox Cities, or to make any agreement contrary to such an agreement. Any such agreement by the CEO of the YMCA must be in writing. I further expressly agree with respect to the at-will employment relationship this statement 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 all offers of employment are conditioned upon my providing appropriate documents confirming my identity and my legal right to work in the United States. I understand this application is only valid for the listed position applied for, and the YMCA is not obligated to retain or consider this application for any other or future positions. If hired, I agree to abide at all times by all YMCA policies and rules. BY SIGNING BELOW, I HEREBY ACKNOWLEDGE I HAVE READ AND UNDERSTAND THE STATEMENTS CONTAINED IN THIS SECTION APPLICATION ACKNOWLEDGEMENT AND AUTHORIZATION, AND I FURTHER CERTIFY ALL INFORMATION PROVIDED BY ME FOR CONSIDERATION OF EMPLOYMENT IS CORRECT, ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE, AND I AM MAKING AND SIGNING THIS APPLICATION VOLUNTARILY. Signature: Date: