Employment Application Form - Ymca - ABILENE, Texas

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Staff Use Only
Date Turned in:
Staff Initial:
Redbud or State Street: __________
Applicant Name: _______________
EMPLOYMENT APPLICATION
YOUNG MEN’S CHRISTIAN ASSOCIATION
ABILENE, TEXAS
(Equal Opportunity Employer)
PLEASE READ BEFORE COMPLETING THIS APPLICATION
This association does not discriminate in the recruitment, hiring, and conditions of employment on the basis of race,
color, religion, national origin, sex, marital status, disability, age, or veteran status. No information on this application
is intended to be in a discriminatory manner. Your completed application will be reviewed carefully, but its receipt
does not imply that you will be employed. Employment consideration necessitates that you meet all minimum
qualifications required for the position for which you are applying.
YMCA of Abilene – Employment Application
Page 1
Staff Use Only
Date Turned in:
Staff Initial:
Redbud or State Street: __________
Applicant Name: _______________
EMPLOYMENT APPLICATION
YOUNG MEN’S CHRISTIAN ASSOCIATION
ABILENE, TEXAS
(Equal Opportunity Employer)
PLEASE READ BEFORE COMPLETING THIS APPLICATION
This association does not discriminate in the recruitment, hiring, and conditions of employment on the basis of race,
color, religion, national origin, sex, marital status, disability, age, or veteran status. No information on this application
is intended to be in a discriminatory manner. Your completed application will be reviewed carefully, but its receipt
does not imply that you will be employed. Employment consideration necessitates that you meet all minimum
qualifications required for the position for which you are applying.
YMCA of Abilene – Employment Application
Page 1
CAREER OPPORTUNITIES WITHIN THE YMCA
The YMCA is a community service organization dedicated to helping individuals and families reach their full potential by
promoting a healthy lifestyle in spirit, mind and body and by demonstrating Christian values.
Some career opportunities include:
 Counseling
 Family Program
 Clerical
 Sports & Physical
 Branch Management
Leadership
 Health & Fitness
 Transportation
Education
 Camping
 Marketing
 Administrative
 Child Care
 Accounting & Finance
 Maintenance/ Properties
 Adolescent Leadership
 Data Processing
Management
 Aquatics
 Human
 Community Outreach
Resources/Training
Development
THE YMCA’S POSITION ON NATION-WIDE PROBLEM OF CHILD ABUSE
WE MAKE AN ACTIVE EFFORT TO PREVENT CHILD ABUSE
Some examples may include, but are not limited to:
 A thorough background check including, but not limited to, references of past employers, personal references, the military,
educational institutions, volunteer organizations, civic groups, personal character, health and activities.
 Allegations or suspicions of child abuse are taken seriously and will be reported to the State for investigation.
 Programs are structured so that no Staff Member is left alone with a child.
 Periodic interviews/evaluations with children and parents about day to day experiences, encouraging reports of anything
out of the ordinary.
 Staff and Volunteers will not fraternize with children outside the programs, including baby-sitting or inviting children home.
 Testing for illegal substances.
 Psychological testing.
 Criminal history records check.
YMCA GOALS
To support and strengthen the family unit.
To help children develop to their fullest potential.
To deliver the program in a positive YMCA environment of safety, support and care.
YMCA of Abilene – Employment Application
Page 2
Name:
Date:
First
M
Last
Address:
Street
City
Zip
Home Phone
Cell Phone
Other names used during prior employment:
Are you a veteran?
Yes
No
Are you authorized to work in the United States (proof of your employment eligibility required)?
Yes
No
The age requirement for some positions is 18; do you fulfill this age requirement? Yes
No
The age requirement for some positions is 21; do you fulfill this age requirement? Yes
No
Applying for position as
Acceptable Salary Range_______________________________
At which YMCA Branch
Have you previously applied for employment for any YMCA?
Yes
No
If so, when?
Location:
Have you ever worked for any YMCA?
If so, when?
Location:
How were you referred to the YMCA? (Please Circle)
Employee
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School
Drop-in
Agency
Other
Name of referral source indicated above
During the past 5 years, have you ever been convicted of, or have you pleaded guilty or no contest to, a felony offense?
Yes
No
(Answering yes will not automatically bar you from employment)
If yes, please explain
Have you failed to be reemployed, ever been involuntarily discharged, fired or asked to resign a position? Yes
No
If yes, give dates and circumstances
YMCA of Abilene – Employment Application
Page 3
(Name/Phone/Employer/Position/How Long Known)
1.
2.
3.
Name of Employer/Organization:
Employed From:
to:
Supervisor:
Phone: (
)
Briefly describe your Responsibilities:
Name of Employer/Organization:
Employed From:
to:
Supervisor:
Phone: (
)
Briefly describe your Responsibilities:
Name of Employer/Organization:
Employed From:
to:
Supervisor:
Phone: (
)
Briefly describe your Responsibilities:
Name of Employer/Organization:
Employed From:
to:
Supervisor:
Phone: (
)
Briefly describe your Responsibilities:
YMCA of Abilene – Employment Application
Page 4
Are you presently in school?
Yes
No
High School (Name/City/State):
__________________________________________________________________________________________________
Dates (To/From):
Courses/Degree:
Graduate? Yes
No
Have you earned a General Educational Development (GED) or high school equivalency?
Yes
No
College/University (Name/City/State):
Dates (To/From):
Courses/Degree:
Graduate? Yes No
Trade/Business/Other (Name/City/State):
Dates (To/From):
Courses/Degree:
Graduate? Yes No
YMCA of Abilene – Employment Application
Page 5

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