Fillable Ymca Of Metropolitan Los Angeles Application Form For Employment (Page 3 of 8) in pdf

Have you ever been convicted of a felony or a misdemeanor, involving fraudulent conduct or violence? Yes

(Do not include any marijuana related offense dated more than two years ago. A conviction will not necessarily result in

denial of employment.)

If yes, describe in full ______________________________________________________________

––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––

Position(s) applied for ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––

Would you work Full Time?

Part Time?

Specify days and hours if part time ––––––––––––-------–––––––––––––––

Are there any days of the week or hours you are unable to work? Yes

If yes, what days or hours _____________________________________________

Have you ever been employed by the YMCA? Yes

If yes, where and when? –––––––––––––––––––––––––––––

List any relatives or friends working for us ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––

Are there any other experiences, skills or qualifications which you feel would especially fit you for work with the YMCA?

Are you currently employed? Yes

May we contact your present employer? Yes

If so, please provide name and telephone number ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––

If employed, are you legally able to work in the United States? Yes

If employed, documentation verifying your legal entitlement to work in the United States will be required.

If the position you are applying for includes driving an Association vehicle, submit and attach a copy of your California Motor Vehicle

Driving Record issued within the last 30 days. CALIFORNIA DRIVER'S LICENSE NUMBER ___________________________

EXPIRATION DATE ____________

References (Not Former Employers or Relatives)

Name

Relationship

Phone #

Address

Name

Relationship

Phone #

Address

Name

Relationship

Phone #

Address

Your employment may be contingent upon the satisfactory completion of a physical examination by a licensed physician

and/or by passing a drug or alcohol test. The following is an authorization for your consent to a drug and alcohol test.

The YMCA may also obtain a Consumer Credit Report in considering this application.

Ymca Of Metropolitan Los Angeles Application Form For Employment Page 3