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  • Job Application

    Please complete the form below to apply for a position with us.
  • Personal Data

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  • General

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  • Employment

    List all positions you have held, beginning with your most recent. Include self-employment and volunteer work.
  • Education

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  • Special Skills

  • Personal References

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  • PLEASE READ CAREFULLY BEFORE SIGNING

  • I agree that any claim or lawsuit relating to my service with the Auglaize/Mercer Counties Family YMCA or any of its subsidiaries must be filed no more than six months after the date of the employment action that is the subject of the claim or lawsuit. I expressly agree to waive any statute of limitations to the contrary. I understand that if I become an employee of Auglaize/Mercer Counties Family YMCA at any time in the future, the application of employment will become a part of my official employment record. I further acknowledge that Auglaize/Mercer Counties Family YMCA will be relying on the information contained in this application for any hiring decision and that I am contractually bound by the terms contained herein.

    I hereby certify that the information provided on this application is accurate to the best of my knowledge and subject to verification by the YMCA. I authorize the schools, persons, previous employers, agencies, and other organizations named in the application to provide the YMCA (its authorized employees, agents, or representatives) with a relevant information that may be required to arrive at an employment decision and hereby release any such schools, persons, employers, agencies, and organizations from any and all liability which they might otherwise incur as a result. I understand that any misrepresentation or omission of a material fact on my application may be justification for refusal of employment.

    In the event that I am employed, I understand that all employees are subject to termination at the discretion of the YMCA. If, in the event, I choose to voluntarily terminate my employment, I am free to do so at any time, and, if I choose to give proper notice of my termination, the association may either permit me to continue my employment during the notice period or may accept or may accept my resignation immediately.

    I understand that, in the event that I am employed by the YMCA, my compensation, hours of employment, and all other terms and conditions of employment are subject to modification or change by the YMCA at the YMCA's discretion.

    I also understand that, if employed, any misrepresentation made by me completing this application shall be considered sufficient cause for my dismissal without advance notice.

    I authorize the YMCA to supply my employment record, in whole or in part, and in confidence, to any prospective employer, government agency, or other party, with a legal and proper interest.

    In the event of my employment, I will comply with all rules and regulations as set forth in the YMCA's policy manual or other communications distributed to employees, and understand a condition of my continued employment will be my compliance with the YMCA's controlled substance abuse and testing policy. I have read, understand and support the YMCA's position on the problem of child abuse.

    I also understand that my employment is conditional upon my satisfactorily passing a physical examination and/or drug screening, if one is requested, to be given by a physician or registered nurse selected by the YMCA and until results of my driving record, my criminal history record, reference checks, and other documents required by law are completed, and until information given by me has been verified.

    I understand that completion of this form does not guarantee me status as an applicant or any consideration for employment unless I meet all stated minimum qualifications required of the position for which I am asking to be considered. 

    CONVICTIONS: A conviction does not automatically mean you will not be offered a job. What you were convicted of, the circumstances surrounding the conviction and how long ago the conviction occurred are important considerations in determining your eligibility. Give all the facts, so that a fair decision can be made.

    I have read the above statement and accept the same as a condition of my employment with the YMCA.

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