EmailMe Form - Employment Application

Contact Information

Name *

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

Full Time Position

Lifeguard - Sturgeon Bay

Part Time Position

Are you eligible to work in the United States? *

Yes

No

Are you willing to undergo a background check? *

Yes

No

Notice to All Applicants: The YMCA enforces its policies and practices to prevent child abuse. Allegations or suspicions of child abuse are taken very seriously at the YMCA and will be reported to the proper authorities for investigation. We have abuse reporting procedures, there are unscheduled visits from supervisors, we have an open door for parents, and we have a code of conduct for staff. We minimize opportunities for abuse to occur and we talk with children about personal safety and touching limits. We also screen carefully to prevent abusers from being hired and we provide child abuse prevention training to staff.

Have you been convicted of a felony? *

Yes

No

If yes, please explain.

Are you at least 18 years of age? *

Yes

No

No, what is your date of birth?

Have you been previously employed by the Door County YMCA?

Yes

No

If you have worked at the YMCA previously, what was your reason for leaving?

Highest level of education:

High School Diploma

Associates Degree

Bachelors Degree

Masters Degree

Work Experience:

Upload Your Resume *

Word or PDF Documents Only

Available start date? *

MM / DD / YYYY

Application Acknowledgement

I hereby affirm that my answers to the foregoing questions are true and correct, and that I have not knowingly withheld any fact or circumstance that would, if disclosed, affect my application unfavorably. I understand that any false information submitted in this application may result in my discharge; and that my employment is subject to proof of eligibility for employment in the United States. Further, I understand and agree that if employed, my employment would be solely employment at will for no definite period and may be terminated at any time without previous notice. I AUTHORIZE the Door County YMCA to contact and obtain information from all references, employers, educational institutions, and law enforcement agencies, and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the Door County YMCA and its representative for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing and disclosing such information. I hereby acknowledge that I have read and understood the above statements and that I voluntarily submit this application.

I have read and agree to the above statement.

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