YMCA of Kanawha Valley Application for Employment

To Applicant: We deeply appreciate your interest in our organization. A clear understanding of your background and work history will aid us in placing you in the position that best mets your qualifications. a background check will be performed on all potential employees. Your application will be kept on file for three months. The YMCA is a unique place to work. We expect our employees to exemplify our mission statement which states: ‘To put Christian principles (caring, honesty, respect, responsibility) into practice through programs that build health spirit, mind and body for all.” If you feel you meet this first qualification, please continue.

Name

First Name

Last Name

Present Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long have you lived at the present address?

Cell Phone

(###)

###

####

Position Applying For

Times/Days of Week Available

Have you ever been employed by YMCA? If so, when and where?

Please list your educational background starting from most recent and degree acheived

Reference name, address/email, and phone number

Employment - Most Recent: Company Name, Phone Number, Address, Position, Dates, Reason for Leaving, and Job Duties

Employment - Company Name, Phone Number, Address, Position, Dates, Reason for Leaving, and Job Duties

Have you ever been convicted of a felony

Yes

Please indicate any community involvement/volunteerism

Please indicate any specific skills which would be applicable to this position

Confirm your application by typing your full name and date