Ymca Of Metropolitan Los Angeles Application Form For Employment Page 7

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We appreciate your interest in a position with the YMCA of Metropolitan Los Angeles. If you have questions
about making the following statement, please ask the interviewer to explain.
STATEMENT OF APPLICANT
PLEASE READ BEFORE SIGNING
1. In the YMCA of Metropolitan Los Angeles' effort to attract the highest quality staff, I have been advised that, as a part of the application
process for employment with the Los Angeles YMCA, an extensive inquiry will be made concerning my prior employment, activities,
and character, and I fully consent to and authorize all such inquiries.
2. I understand that all employees of the Association are required to submit themselves for a fingerprint record check with the State of
California. I understand that my employment is subject to the YMCA's review and acceptance of my fingerprint record. I also
understand that my driving record may be verified if I drive while performing my duties for the YMCA.
3. In the event of my employment by the YMCA of Metropolitan Los Angeles, I will comply with all policies set forth in the personnel
manual and with other policies rules and regulations established from time to time by the organization or by a supervisor or manager.
I hereby waive any right to any claim regarding the Association's investigation of my background that any request or investigation is
an invasion of my privacy, since they are made with my consent and it is in my interest that I be considered for employment.
4. I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld
nothing that would, if disclosed, affect this application unfavorably. I understand and agree that any misrepresentation or omission of
facts would exclude my being considered for employment or, after employment, would result in termination of employment with the
YMCA of Metropolitan Los Angeles upon discovery.
5. If I am offered employment, I will, as a condition of employment, be required to submit proof of my identity and legal right to work in
the United States.
6. If I am offered employment, I will, as a condition of employment, furnish proof that I am over 18 years of age.
7. I understand that any offer of employment may be contingent upon my taking and passing a drug test. I also understand and agree that
the Association reserves the right to require me to submit to drug and alcohol testing during my employment, to the extent permitted by law.
8. I understand that if I am employed, any false statement, misrepresentation, or omission of facts on this application or on any supporting
documents, regardless of when discovered to be false, will result in my immediate dismissal.
I AGREE AND UNDERSTAND THAT IF I AM OFFERED A POSITION WITH THE ASSOCIATION, IT WILL BE OFFERED ON
THE CONDITION THAT MY EMPLOYMENT WILL BE AT-WILL AND FOR NO DEFINITE PERIOD AND THAT I HAVE NO
EXPRESS OR IMPLIED CONTRACTUAL RIGHTS TO CONTINUED EMPLOYMENT WITH THE ASSOCIATION. I UNDER-
STAND THAT JUST AS I HAVE THE RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME, FOR ANY OR NO REASON,
THE ASSOCIATION ALSO HAS THE RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME, FOR ANY OR NO REASON,
WITH OR WITHOUT CAUSE OR NOTICE. I UNDERSTAND THAT, EXCEPT FOR THE PRESIDENT OF THE ASSOCIATION,
NO SUPERVISOR OR MANAGER MAY ALTER OR AMEND THE CONDITIONS STATED IN THIS PARAGRAPH. ONLY THE
PRESIDENT OF THE ASSOCIATION HAS AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY
SPECIFIED PERIOD OF TIME OR TO MAKE ANY AGREEMENT CONTRARY TO THIS PARAGRAPH AND THEN ONLY IN
WRITING. EXCEPT FOR SUCH A CONTRACT SIGNED BY THE PRESIDENT OF THE ASSOCIATION, I FURTHER UNDER-
STAND THAT MY STATUS AS AN "AT-WILL" EMPLOYEE, IF I AM EMPLOYED BY THE YMCA, MAY NOT BE ALTERED
EITHER BY STATEMENTS, WRITINGS, OR CONDUCT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THE ABOVE STATEMENTS AND THAT I AGREE TO
THE ABOVE AND VOLUNTARILY SIGN THIS APPLICATION. I FURTHER DECLARE, UNDER PENALTY OF PERJURY,
THAT THE INFORMATION I HAVE PROVIDED IN THIS APPLICATION IS TRUE AND CORRECT.
NOTE: The Association considers applications only for a 30-day period. If you wish to be considered after 30 days from the date you
submitted this application, please reapply.
__________________________________________________
Name of Applicant (Please Print)
_______________________________________________________________
______________________________________________________________
Signature of Applicant
Date
The unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance is prohibited on Association premises
or during working hours. Employees of the YMCA must notify the Association of any criminal drug statute conviction for a violation
occurring on Association property or during working hours no later than five (5) days after such conviction. Any violation of this policy
will be subject to immediate termination of employment.
__________________________________________________
_________________________________________________
Signature of Applicant
Date

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