Ohio Valley YMCA Mission Statement
To put Christian principles into practice through programs that build a healthy spirit, mind, and body for all. We believe that to bring about meaningful change in individuals and communities, we must be focused and accountable. At the Y, we measure the success of our cause by how well we engage communities in the areas of Youth Development, Healthy Living, and Social Responsibility.
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HIRING POLICY
We are an Equal Opportunity Employer. Applications for all job openings are welcome and will be considered without regard to race, color, religion, national origin, sex, age, sexual orientation, physical or mental disability, or any other basis protected by state, federal or local law. It is the intent of the YMCA to comply with all applicable federal, state and local legislation concerning equal opportunity in employment.
Only complete applications will be considered.
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First Name |
Middle Name |
Last Name |
Phone |
Cell Phone |
Email |
Address |
City |
State |
Zip |
Other Names used during prior employment (Maiden name, other surnames, etc.) |
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Date of Application
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Date you are available to start work
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Have you previously applied for employment for any YMCA?
Yes
No
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If yes, when and where? |
Have you ever worked for any YMCA?
Yes
No
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If yes, when and where? |
Do you have any relatives or friends working for the YMCA?
Yes
No
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If yes, name: |
Are you legally eligible for employment in this country? (Proof of U.S. Citizenship or immigration ststus will be required upon employment.)
Yes
No
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Have you ever been denied bonding?
Yes
No
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Have you ever pled "guilty" or "no contest" to, or been convicted of a crime?
Yes
No
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If yes, please provide dates and details: (Answering "yes" to the above questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account) |
Applying for position as:
Full Time
Part Time
Seasonal
Summer
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If applying for seasonal work, are you available to work during the school term?
Yes
No
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Check the day(s) you are available to work.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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Please check the shift that you are applying for
Morning
Afternoon
Evening
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Are you at least 16 years of age?
Yes
No
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Please provide the following information about your High School: Name, Location, Number of Years Completed: |
Did you graduate High School?
Yes
No
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Please provide the following information about your college if applicable: Name, Location, Number of Years Completed: |
Did you graduate?
Yes
No
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Please provide any information about additional education: |
Employment History & Reference Information
Provide the following information of your past three (3) employers, assignments or volunteer activities, starting with the most recent. If a resume is provided, the information must still be completed. If more relevant work history is further back, use the "skills" portion that follows. |
Employer |
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Employed From:
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Employed To:
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Employer Telephone # |
Employer Address |
May we contact for reference?
Yes
No
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Starting Rate/Salary |
Starting Job Title |
Ending Rate/Salary |
Final Job Title |
Immediate Supervisor |
Summarize the nature of work and job responsibilities. |
Reason for leaving |
Employer |
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Employed From:
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Employed To:
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Employer Telephone # |
Employer Address |
May we contact for reference?
Yes
No
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Starting Rate/Salary |
Starting Job Title |
Ending Rate/Salary |
Final Job Title |
Immediate Supervisor |
Summarize the nature of work and job responsibilities. |
Reason for leaving |
Employer |
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Employed From:
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Employed To:
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Employer Telephone # |
Employer Address |
May we contact for reference?
Yes
No
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Starting Rate/Salary |
Starting Job Title |
Ending Rate/Salary |
Final Job Title |
Immediate Supervisor |
Summarize the nature of work and job responsibilities. |
Reason for leaving |
Skills |
Summarize any other employment history, training, languages other than English that you can speak, or other skills that may have prepared you for this position. |
List all special licenses, permits, certifications and level or credit hours (CPR, lifeguard, First Aid, etc. Proof of these accomplishments will be required, if hired.) Please provide the type, level, and expiration date of any listed accreditations. |
List equipment, machinery, software or special skills related to your ability to perform the functions of the position for which you are applying. Include your skill level and/or years of experience. |
List 1 family reference and 2 professional references that are not past employers (ex: teachers/professors, customers/clients, coaches, clergy, etc.) References must have known applicant for a minimum of two years. Please provide the full name, address, phone number, position/occupation, how long known, and relation for each reference. |
Child Abuse Prevention
The Ohio Valley YMCA endorses and enforces its policies and practices to prevent child abuse. Our first priority in all youth programs is care and safety. We make an active and, we believe, effective effort to prevent child abuse whether verbal, physical, emotional or sexual. Allegations or suspicions of child abuse are taken very seriously by the YMCA and will be reported. The YMCA will fully cooperate in any investigation or prosecution of suspected child abusers.
Since all employees of the Ohio Valley YMCA have access to children, all candidates will be subject to a thorough background investigation, which may include, but are not limited to, checking the following:
- Past employer references
- Personal references
- Periodic interviews with children and parents about day-to-day experiences, encouraging reports of anything out of the ordinary.
- Criminal background history
- Drug testing
- Personal characteristics/activities
- Civic involvement
- Volunteer organization history
- Military records
- Psychological testing
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Are you a pedophile or child abuser?
Yes
No
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Have you ever been accused of being a pedophile or child abuser?
Yes
No
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If yes, please explain. |
Code of Conduct
- Our staff will exhibit the highest ethical best practices and personal integrity.
- Our staff will provide a professional work environment that is free from physical, psychological, written, or verbal intimidation or harassment.
- Our staff will not physically, sexually, or emotionally abuse or neglect a youth or adults.
- Our staff will share concerns about suspicious or inappropriate behavior with their supervisor or administrator.
- Our staff will report any suspected abuse or neglect of a youth to the state authorities.
- Our staff will accept their personal responsibility to protect youth and adults from all forms of abuse.
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Digital Signature | |
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I certify that all information I have provided in order to apply for and secure work with the Ohio Valley YMCA is true, complete and correct.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) cancel any further consideration of this application or (2) immediately discharge me from the employer's service, whenever it is discovered.
I expressly authorize, without reservation, the employer, it's representatives, employees or agents to contract and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.
I understand that this application remains current for only 90 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and complete a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice and the employer reserves the same right to terminate my employment at any time, with or without cause, and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's CEO.
I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 form in this regard.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENTS.
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. |
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