Employment Application - Ymca Camp Soles

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Employment Application
We are for youth development, healthy living, and social responsibility
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 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 the last page of the application.
.
Personal Information
Position Applying For: ___________________________________________________ Date:______________________
Preferred YMCA Location: _________________________________________ Date Available: ____________________
NAME: ____________________________________________________________ E-mail: ________________________
Last
First
MI
Address: _________________________________________________________________________________________
Street
City
State
ZIP
Telephone:
______/______________
______/_______________
_____/__________________
Home
Business
Mobile
Are you 18 years of age or older? (If not, you may be required to provide work authorization.)
Yes
No
If hired, can you provide verification of your legal right to work in the United States?
Yes
No
Can you perform the essential functions of the job for which you are applying, with or without
Yes
No
reasonable accommodation?
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. (A conviction will
not necessarily bar employment. The YMCA may consider the nature, date and circumstances of the
Yes
No
offenses.)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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.

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