Employment Application

Your Personal Information

Your Name*

First Last

Your Email Address*

Enter Email Confirm Email

Your Home Address*

Street Address Unit / Suite Number City State Zip Code

Home Phone

Cell Phone

Best Time To Call You*

When is the best time for us to reach you via telephone?

Are you 18 or older?*

Yes
No

Do you have a legal right to remain and work in the United States?*

Yes
No

Have you ever filed an application with the Jackson YMCA before?*

Yes
No

If yes, please give dates*

Have you ever been employed by the Jackson YMCA before?*

Yes
No

If yes, please give dates and position.*

Have you ever been convicted of a crime?*

Yes
No

If yes, explain.*

Are there any felony charges pending against you?*

Yes
No

Position You're Applying For

Position(s) desired*

Availability*

Full Time
Part Time
Seasonal

Hours You Are Available for Work*

please tell us what hours you are available for work each day of the week.

Previous Employment

Your Previous Employers*

please list your previous employers, the dates you worked and the position you held

Employer	Dates	Position	Phone

Personal References

Please list three personal references, that are not related to you, that we may call and speak with.

Name*

First Last

Phone*

Name*

First Last

Phone*

Name*

First Last

Phone*

More About You

Tell Us About Yourself*

Do you have any special training skills qualifications or other experiences that relate to the position?

Upload Your Resume

upload your resume in .pdf, .doc or .docx format

The Legal Stuff

Terms and Conditions

I certify that all the statements made by me in this application are true. I understand that should any statement be false termination of my employment with the Jackson YMCA may result. I hear my wave written notice from my former employer who divulges a disciplinary report. Letter reprimand or other disciplinary action to the Jackson YMCA.

I understand that if I am offered a job with the YMCA, I will be an at will employee and my employment can be terminated with or without just cause at any time at the option of either the YMCA or myself. I understand that no person other than the CEO of the YMCA has any authority to enter into any agreement for employment for any specific period of time or make any arrangement contrary to the foregoing unless it is in writing and signed by both CEO of the YMCA and myself.

Acceptance*

I agree to the Terms and Conditions

Jackson YMCA

Your Personal Information

Position You're Applying For

Previous Employment

Personal References

More About You

The Legal Stuff

Terms and Conditions

Contact

Downtown Branch

Summit Branch