What Branch would you like to be your primary branch?
(Note: various positions will require you to be available at multiple branches)
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What position would you be interested in?
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| Are you 18 or older?
Yes
No |
| Are you 21 or older?
Yes
No |
Have you ever filed an application here before?
Yes
No
If yes, give date
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Have you ever been employed by the YMCA of Central Virginia before?
Yes
No
If yes, give date
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Do you have any relatives already employed by the YMCA?
Yes
No
If yes, give names
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Are you authorized to work in the United States?
Yes
No |
Are you currently employed?
Yes
No
If yes, where
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May we contact your present employer?
Yes
No |
Are you looking for work that is
Full-time (40+ hours/week)
Part-time (20 or less hours/week)
Either |
When are you available to work? Select all that apply.
Early Morning
Daytime (9am-5pm)
Evenings
Weekends |
If you are looking for temporary or seasonal work, indicate which season(s)
Winter
Spring
Summer
Fall |
Have you ever been convicted of a felony?
(conviction will not necessarily disqualify applicant from employment)
Yes
No
If yes, please explain
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Can you perform the essential functions of this job with or without reasonable accommodation?
Yes
No |
If applicable, what can be done to accommodate your limitation?
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It is the policy and practice of the YMCA of Central Virginia to recruit, hire and promote qualified applicants without regard to their race, color, religion, sex, age, national origin, disability, marital status or other areas covered by Federal, Stats or local fair employment laws and regulations.
This request for application will be given every consideration but its receipt does not imply that the applicant will be employed. In processing this request for application, the YMCA may request that an investigative consumer report be prepared, which may include a request to a credit bureau as well as information as to the applicant’s character, general reputation and personal characteristics. The prospective applicant has the right to request that the YMCA completely and accurately disclose to the applicant the nature and scope of the investigation requested. Such a request must be made in writing to the personnel division within a reasonable time after completing this application.
By electronic submission, I certify that all statements made by me on this request for application are true and complete to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this request for application unfavorably. I understand that any false statement or insufficient disclosure on this request for application is grounds for refusal to hire me, or grounds for discharge if I am hired.
This request for application shall be considered active for a period not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time must reapply for employment. Upon offer of employment a paper application will need to be completed in it entirety and signed.
By electronic submission, I hereby acknowledge that I have read the above statement and understand the same. |
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