Ymca Of Metropolitan Los Angeles Application Form For Employment Page 2

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To Applicant:
We deeply appreciate your interest in our organization and assure you that we are sincerely
interested in your qualifications. A clear understanding of your background and work history
will aid us in placing you in the position that best meets your qualifications.
We are an equal employment opportunity employer. We consider applicants for all positions
without regard to race, color, religion, creed, sex, marital status, age, national origin, ancestry,
physical or mental disability, medical condition, sexual orientation, or any other consideration
made unlawful by federal, state, or local laws. Please contact the Metropolitan Human
Resources Department if you have any questions or complaints regarding this policy.
(PLEASE PRINT LEGIBLY)
Date __________________
Name ________________________________________________ Social Security No. ______________________
Last
First
Middle Initial
Present Address _____________________________________________________________________________
No.
Street
City
State
Zip
Telephone No. (____)_______________________ How long have you lived at above address? ________________
Previous Address_______________________________________________How long did you live there?______
No.
Street
City
State
Zip
Are you over the age of eighteen? Yes
No
If no, employment may be subject to verification of your eligibility
to work and a receipt of a school work permit.
Indicate dates you attended school and the location of each school:
High School
Name
City
From
To
College
Name
City
From
To
Degree and Date of Degree:
Area of Study:
Honors and Activities:
Name
City
From
To
Degree and Date of Degree:
Area of Study:
Honors and Activities:
Other
Name
City
(Specify type of school)
From
To
Area of Study:

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