Application For Employment Form

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APPLICATION FOR EMPLOYMENT
YMCA OF SAN DIEGO COUNTY
The YMCA of San Diego County is an Equal Employment Opportunity Employer dedicated to employing a diverse workforce.
Please answer all questions completely.
FIRST NAME
LAST NAME
INITIAL
POSITION DESIRED
BRANCH NAME
DATE
HOW DID YOU FIND OUT ABOUT THE POSITION YOU ARE APPLYING FOR?
YMCA EMPLOYEE___________________
NEWSPAPER_________________
JOB FAIR__________________
COLLEGE RECRUITING_______________
INTERNET___________________
WALK-IN___________________
OTHER______________________________________________________________________________________________________
PERMANENT ADDRESS
CITY/STATE/ZIP
HOW LONG AT THIS
TELEPHONE
EMAIL ADDRESS
OTHER STATES LIVED IN DURING PAST 10
ADDRESS?
YEARS
HAVE YOU EVER WORKED FOR A YMCA?
IF YES, YMCA NAME AND ADDRESS:
DO YOU HAVE ANY RELATIVES WORKING FOR THE YMCA? IF SO, PLEASE LIST
NAME(S)
YES
NO
YES
NO
HAVE YOU PARTICIPATED IN THE YMCA RETIREMENT PLAN?
IF HIRED, CAN YOU PROVIDE PROOF OF IDENTITY AND LEGAL AUTHORIZATION TO WORK IN THE U.S.?
YES
NO
YES
NO
ARE YOU AT LEAST 18 YEARS OF AGE (IF UNDER 18, HIRE IS
OTHER NAME(S) UNDER WHICH YOU HAVE BEEN PREVIOUSLY EMPLOYED OR OBTAINED YOUR EDUCATION
SUBJECT TO VERIFICATION)
NO
YES
EXCEPT FOR OFFENSES PERTAINING TO MARIJUANA MORE THAN TWO YEARS AGO, HAVE YOU EVER BEEN CONVICTED OF A FELONY OR MISDEMEANOR? IF YES, STATE LOCATION,
DATE AND DESCRIPTION
YES
NO
EDUCATION/SKILLS/AWARDS
NAME AND ADDRESS OF SCHOOL OR INSTITUTION
MAJOR
DEGREES/DIPLOMAS
HONORS/AWARDS RECEIVED
PROFESSIONAL CERTIFICATES OR LICENSES HELD
ARE YOU TAKING ANY EDUCATIONAL
COURSES PRESENTLY?
YES
NO
IF YES, WHAT COURSE AND WHERE?
TO BE COMPLETED BY THOSE APPLYING FOR CHILD CARE, AQUATICS AND/OR DRIVER POSITIONS
CHILD CARE - MUST SUBMIT CURRENT CERTIFICATIONS
COMMUNITY FIRST AID
OTHER FIRST AID (SPECIFY)
ADULT/INFANT & CHILD CPR
CHILD DEVELOPMENT
OR RELATED UNITS:
NO
YES
NO
YES
AQUATICS - MUST SUBMIT CURRENT CERTIFICATIONS
BASIC FIRST AID
AED
CPR FOR PROFESSIONAL RESCUER
O2
EXP:____________________
EXP:_________________
EXP:______________________
EXP:______________________
YES
NO
YES
NO
YES
NO
YES
NO
YMCA OR RED CROSS LIFEGUARD
WSI OR YMCA SWIM INSTRUCTOR
LIST OTHER CERTIFICATIONS INCLUDING EXPIRATION DATES:
EXP:____________________
EXP:___________________
YES
NO
YES
NO
DRIVERS
DO YOU HAVE A SCHOOL BUS
FIRST AID
CPR
DO YOU HAVE A VALID CLASS II/B LICENSE IN THIS STATE?
CERTIFICATE?
YES
NO
YES
NO
YES
NO
YES
NO
IN COMPLIANCE WITH U.S. DEPARTMENT OF TRANSPORTATION FHWA, THE YMCA WILL CONDUCT PRE-EMPLOYMENT DRUG TESTING AND RANDOM
DRUG ALCOHOL TESTING OF DRIVERS.

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