YMCA OF THE FOX CITIES EMPLOYMENT APPLICATION
Thank you for your interest in the YMCA!

The YMCA is an equal opportunity employer and does not discriminate in recruitment, hiring or other terms or conditions of employment on the basis of race, color, religion, national origin, sex, disability, age or any other status protected by law.
  • Personal Information

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  • Employment Information

  • Sunday
    Monday
    Tuesday
    Wednesday
    Thursday
    Friday
    Saturday
  • How did you hear about this opening?

  • Education & Training

    Educational Background
  • Name of School
    City, State
    Highest Grade Completed
    Diploma Awarded
  • Name of School
    City, State
    Diploma Awarded
    Degree
    Major
  • Name of School
    City, State
    Diploma Awarded
    Degree
    Major
  • Name of School
    City, State
    Diploma Awarded
    Degree
    Major
  • Type
    Provider
    Level
    Expiration
    Type (CPR, First Aid, CDA, etc.)
  • Type
    Provider
    Level
    Expiration
    Type (CPR, First Aid, CDA, etc.)
  • Type
    Provider
    Level
    Expiration
    Type (CPR, First Aid, CDA, etc.)
  • Employment History

    List all previous employment during the past seven years starting with the most recent.
  • Employer
    Job Title
    Reason for Leaving
  • Responsibility 1
    Responsibility 2
    Responsibility 3
    Responsibility 4
  • / /
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  • Employer
    Job Title
    Reason for Leaving
  • Responsibility 1
    Responsibility 2
    Responsibility 3
    Responsibility 4
  • / /
  • / /
  • Employer
    Job Title
    Reason for Leaving
  • Responsibility 1
    Responsibility 2
    Responsibility 3
    Responsibility 4
  • / /
  • / /
  • Employer
    Job Title
    Reason for Leaving
  • Responsibility 1
    Responsibility 2
    Responsibility 3
    Responsibility 4
  • / /
  • / /
  • Professional References

    Do not list relatives
  • Name
    Occupation
    Years Known
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  • Name
    Occupation
    Years Known
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  • Name
    Occupation
    Years Known
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  • Additional Documents:

  • Application Acknowledgement and Authorization

    Please read all statements and sign below:

    I authorize both the YMCA of the Fox Cities and persons listed (references, schools, current (unless noted) and former employers and any others with whom you desire to check) to communicate with regard to any relevant information that may be required to reach an employment decision. I agree to hold such persons harmless with respect to any information they may supply. I understand and agree that any offer of employment is contingent upon successful completion of all background check processes, including a criminal history background check.

    I certify that all information provided by me in this application is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts in this application or any other document submitted in connection with YMCA employment will result in denial of employment or termination of employment regardless of the timing or circumstances of discovery.

    If I am employed by the YMCA I understand I am an “employee at will”, meaning my employment can be terminated, with or without cause and with or without notice, at any time at the option of the YMCA or myself. I understand that, other than the CEO of the YMCA of the Fox Cities, no manager, supervisor or representative of the YMCA has 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 of the Fox Cities 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.

    I understand that all offers of employment are conditional upon my ability to provide appropriate documents regarding my identity and legal right to work in the United States. 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. If hired, I agree to abide by YMCA policies and rules at all times.

    As an employer, the YMCA requires its staff to follow child abuse or neglect reporting procedures. The YMCA will train employees in identifying children who have been abused or neglected and in the laws, procedures, and YMCA policy governing the reporting of suspected or threatened child abuse and neglect. Employees are required to report suspected child abuse or neglect to the YMCA administration. Allegations of child abuse or suspicious behavior related to supervision or interaction with children will be investigated and reported to the proper authorities. The YMCA will work to minimize opportunities for abuse to occur and will employ unsupervised visits by supervisors, conduct an open door policy for parents, and enforce a code of conduct for staff. The YMCA will educate children in our programs about personal safety and touching limits. The YMCA is committed to carefully reviewing our applicants for employment. By signing below, I acknowledge and understand as an employee of the YMCA, I am not allowed to fraternize with YMCA youth members or participants outside of YMCA programs, and I am not allowed to babysit such children or invite them to my home. Any exceptions to these policies must be approved in writing by my supervisor with such exception and written approval to be maintained on file with the YMCA.
  • BY SIGNING ABOVE, I HEREBY ACKNOWLEDGE I HAVE READ AND UNDERSTAND THE STATEMENTS CONTAINED IN THIS SECTION “APPLICATION ACKNOWLEDGEMENT AND AUTHORIZATION”, AND I FURTHER CERTIFY ALL INFORMATION PROVIDED BY ME FOR CONSIDERATION OF EMPLOYMENT IS CORRECT, ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE, AND I AM MAKING AND SIGNING THIS APPLICATION VOLUNTARILY.