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Capital District YMCA
Administrative Offices:
151 Vly Road
PO Box 12640
Albany, New York
12212-2640
518-869-3500

Application for Employment

The Capital District YMCA is an Equal Opportunity Employer.

The Capital District YMCA reserves the right to perform background checks on all applicants prior to hiring.

fields marked with an * are required

Send Resume:
(Accepted file types: txt, doc, wpd, xls, pdf, jpg, jpeg)
* Position applied for:
Date you can start:
Location(s) you are interested in: (to select more than one location hold down your Ctrl key while making your selections)

Desired Status: Full Time Part Time Seasonal
How did you find out about the position?
Employee (include name):
Newspaper (please specify):
Job Fair:
Other:
Applicant Information

* First Name:	* Last Name:
* Address:
* City:	* State: * Zip:
--- please enter phone numbers in this format: (xxx-xxx-xxxx) ---
* Home Phone:	* Daytime Phone:
* EmailAddress:
Please answer the following:

* Have you ever been employed by any YMCA previously? Yes No If yes, where and what dates?
* Are you over age 18?Yes No If not, you will be required to produce original working papers prior to starting work.
* Are you legally eligible to work in the United States? Yes No
* Have you ever been convicted of a crime or do you currently have an arrest or criminal proceeding pending which has not been resolved in your favor? Yes No If yes, please explain:
List any Certifications (include any expiration dates):
Education:

Type	Institution Name/Address	Years Completed	Course of Study	Degree Received
* High School
College
Grad School
Other

Employment History and References:

List past employment experiences, beginning with the most recent.
(please include dates of employment and specify whether we may call for a reference for each job listed.)

Personal References:

Complete this section, in full, with three personal/school/volunteer references. References may not be relatives or former employers.

* Name	* Telephone Number	* Relationship

PLEASE READ: I certify that the information in this application and in any accompanying resume is accurate and complete. I understand that omission, misrepresentation or falsification of any information is grounds for withdrawal of any job offer and/or immediate discharge. As a condition of employment, I understand that verification of any applicable certification, registration or licensure must be successfully completed. I also understand that any offer of employment is contingent upon the receipt of satisfactory references, proof of identity, proof of legal eligibility to accept employment in the United States and working papers, if applicable. I voluntarily give YMCA the right to make a thorough investigation of my past employment and activities, agree to cooperate in such investigation and release from all liability or responsibility YMCA and all persons, companies, or corporations supplying such information. The hiring of any employee shall not be considered as creating a contractual relationship between the employee and the Capital District YMCA for any period of time. Employment may be terminated with or without cause, and with or without notice, at any time, at the option of the Capital District YMCA or the employee.

* Please check this box if you have read the statement above: