Ymca Of Greater Providence Application Form For Employment Page 4

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STATEMENT FROM APPLICANT
Pre-Employment Background Review
In order to ensure that the YMCA of Greater Providence employs high quality staff, I understand that as part of the
application process, an extensive inquiry will be made concerning my background, prior employment, activities, and
character. I authorize the YMCA to request my employment record from any former employer(s). I waive any right to
claim that such inquiries are an invasion of my privacy, since I am acknowledging that they will be made with my
consent. I understand that pre-employment inquiries will also include an examination of my conviction/criminal history
as well as any information in my background related to child abuse. I fully authorize and consent to such inquiries.
Employee Conduct Expectations
As an applicant, I understand that if I become an employee of the YMCA of Greater Providence, I am obligated to
comply with all policies and practices described in the Employee Handbook as well as other policies and practices
described by my supervisor related to my job. I understand that during my employment, should the YMCA learn that I
have engaged in or am engaging in possible criminal activity, including, but not limited to, concerns regarding child
abuse, the YMCA will take the concerns very seriously. Illegal or otherwise problematic off-duty conduct on the part
of
an
employee
that
unfavorably
affects
the
Association's
interests
or
the
employee's
ability
to
perform his or her job will not be tolerated. I understand and acknowledge that the YMCA may be obligated to
investigate and/or communicate these concerns to certain third parties, including, but not limited to the proper
authorities, agencies, and other concerned parties. I understand that YMCA employees and volunteers cannot fraternize
with YMCA youth members or participants outside of YMCA programs, including, but not limited to, babysitting or
inviting children off the YMCA premises.
I certify that all statements made by me on this application are true and complete to the best of my knowledge. I
understand that any misrepresentation or omission of facts will exclude my being considered for employment. I
understand that if the YMCA discovers that I have falsified, omitted, or misrepresented any statements on this
application after I become employed, it may be grounds for immediate termination of employment.
I understand that if hired, employees of the YMCA are employed on an at-will basis. Employment may be terminated at
any time by either the employee or the YMCA for any reason not expressly prohibited by law.
I hereby acknowledge that I have read and understood, and voluntarily agree to all information described in this
application for employment.
______________________________
Print Name
_______________________________
________________________
Signature of Applicant
Date

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