Employment / Volunteer Application



book fair volunteers

This field is for validation purposes and should be left unchanged.

Application for Employment/Volunteer

We are an Equal Opportunity Employer. Applicants 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.
For which are you applying?(Required)

Personal Information

Name(Required)
Address(Required)
This will be our primary means of communicating with you.
Are you over 16 years of age?(Required)
Can you, after employment, submit verification of your legal right to work in the United States?(Required)

Employment/Volunteer Position Desired

Type of POSITION desired:(Required)
Please select one or more options.
What type of position are you looking for?(Required)
Are you presently employed?(Required)
If Yes, may we contact your present employer?(Required)
Have you ever applied at the Kishwaukee Family YMCA before?(Required)
Have you ever been employed at the Kishwaukee Family YMCA before?(Required)
How were you referred to the Kishwaukee Family YMCA?(Required)
Please note your days/hours of availability(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
 

Education and Training

High School
High School Name
Location
 
Graduate
College/University
School Name
Location
 
Years Attended
Start (Year)
End (Year)
 
Graduate
Are you currently in School?(Required)
Drop files here or
Max. file size: 256 MB.

    Reference Data

    Please list a Professional Reference:
    Name
    Profession
    Phone Number
     
    Please list a Professional Reference:
    Name
    Profession
    Phone Number
     
    Please List an Immediate Family Member Reference
    Name
    Relationship
    Phone Number
     

    Employment /Volunteer History

    Please list the most relevant employment first.
    Company Name
    Company Address(Required)
    Please include Job Titles Start and Finish.
    Dates of Employment
    Start (Month/Year)
    End (Month/Year)
     
    Supervisor
    Name
    Title
     
    Company Name
    Company Address(Required)
    Please include Job Titles Start and Finish.
    Dates of Employment
    Start (Month/Year)
    End (Month/Year)
     
    Supervisor
    Name
    Title
     

    Resume and Cover Letter

    Drop files here or
    Max. file size: 256 MB.

      Pre-Employment Certification

      Statement 1(Required)
      I understand that this application is only valid for the position applied for at present and that the YMCA is not obligated to retain or consider this application for future openings.
      Initial
       
      Statement 2(Required)
      I understand that as a VOLUNTEER, I am not covered under the Kishwaukee Family YMCA Workman's Comp Insurance for any injuries I sustain during the time I volunteer at the YMCA. I understand that I am responsible for my own insurance coverage
      Initial
       
      Statement 3(Required)
      I authorize investigation of all statements contained in this application. I understand that falsification, misrepresentation or omission of facts called for will result in immediate termination from employment or removal of my application from consideration. I authorize the YMCA to secure information about my experience with former employers, education institutions and agencies, and for those parties to provide information concerning my experience releasing all parties from any liability arising therefrom
      Initial
       
      Statement 4(Required)
      If employed by the YMCA I will abide by Association policies and rules. I understand that I will be required to possess a current and valid driver’s license if my position requires me to drive in the course of my work.
      Initial
       
      Statement 5(Required)
      I agree to submit to legally permissible drug and/or alcohol testing upon request by the YMCA. I recognize that the results of these tests may be used to determine my employment or continued employment. 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.
      Initial
       
      Statement 6(Required)
      If I am employed by the YMCA I understand my employment can be terminated with or without cause and with or without notice, at any tinme 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 the 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. I further expressly agree that, with respect to the at-will employment relationship, this constitutes the full, complete and final expression of the parties' intent concerning the nature of any employment relationship between myself and the YMCA.
      Initial
       
      Statement 7(Required)
      My signature below certifies that I have read and understand the foregoing and to the best of my knowledge and belief, the infromation on 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.
      Signature
      Date of Application