Application For Employment - Ymca (Page 5 of 5) in pdf

If employed by the YMCA I will abide by its policies and rules. I understand that I will be required to

(Initial)

possess a current and valid driver’s license if my position requires me to drive in the course of my work.

If I am offered employment, I understand and agree that I may be required to undergo a physical

(Initial)

examination at the YMCA’s expense and that my offer of employment may be conditioned by that examination. I agree to

authorize release of all results or information obtained from such physical examinations.

(Initial)

I understand and expressly agree that if employed by the YMCA storage areas provided for me (locker, desk,

etc.) are open to investigation by the YMCA without prior notice to me.

If I am employed by the YMCA I understand my employment can be terminated, with or without cause and

(Initial)

with or without notice, during the probationary period at the option of the YMCA or myself. I understand that, other

than the CEO of the YMCA, no manager, supervisor or representative of the YMCA has authority to enter into any

agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. Only the

CEO of the YMCA has the authority to make any agreement contrary to the foregoing and then only in writing.

(Initial)

I affirm that I meet the minimum age requirement for the job for which I am applying as stated in the job

description which I have reviewed.

My electronic signature below certifies that I have read and understand the foregoing and

to the best of my knowledge and belief, the information all 5 pages of this form is true and

correct.

My electronic signature below also certifies that I agree to be bound by the terms

and conditions stated in this application. This application contains all the understandings

and agreements between me and the YMCA concerning the nature of my employment, if

any, by the YMCA and supersedes all prior and/or contemporaneous practices, oral or

written agreements, understandings, statements, representations and promises, express or

implied, between me and the YMCA. I understand and agree that, except as noted above,

no person who is either an agent or employee of the YMCA may modify, delete, vary or

contradict, whether orally or in writing, the terms and conditions set forth herein.

Applicant Signature

Date of Application

FOR EMPLOYMENT DEPT. USE ONLY

Interviewer’s Signature ____________________________________________________

Date____________________________

Missoula Family YMCA Employment Application Form

Revised-August 2014

pg.5

Application For Employment - Ymca Page 5