THE GRANTS PASS FAMILY YMCA
(541) 474-0001
           

Our Mission:
"To put Christian principles into practice through programs that build healthy spirit, mind and body for all."

Facility Hours:
Monday - Friday
5am - 9pm
Saturday
8am - 5pm

Pool Hours:
Monday - Friday
5am - 8:30pm
Saturday
8am - 4:30pm

Employment Application

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.

Notice to All Applicants:
Character counts at the Grants Pass Family YMCA. You will be expected to teach and demonstrate caring, honesty, respect, and resposibility in all aspects of you time here.

We offer a completely smoke-free facility

In some areas, those younger than 18 years old must work with someone 18 years or older. This may limit the areas and shifts for which you may be considered.

Position Applying For:
Date: 2024/04/27

Personal Information:

Date Available
First Name Last Name Middle Initial

Email

Mailing Address:
Street
City State Zip

Telephone:
Home Business Mobile



Are you 18 years of age or older? (If not, you may be required to provide work authorization)
Yes No


If hired, can you provide verification of your legal right to work in the United States?
Yes No



Can you perform the essential functions of the job for which you are applying, with or without reasonable accommodation?
Yes No


Have you ever been convicted of a crime, pled no contest, or had adjudication withheld?
Yes No
If yes, please provide a date, location, charges and a complete explanation of all offenses. (A conviction will not necessarily bar employement. The YMCA may consider the nature, date and circumstances of the offenses





Employment Information:

List available days/hours:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday


Preferred Job Status:
Full-Time Part-Time Seasonal As Needed

Have you previously been employed by this YMCA or any other YMCA?
Yes No

If yes, When? At which locations?




Have you previously volunteered at this YMCA or any other YMCA?
Yes No

If yes, When? At which locations?



Do you have any relatives or household members currently working for this YMCA?
Yes No

If yes, When? At which locations?




How did you hear about this opening?
YMCA Staff School Walk-in
YMCA Member Advertisement


Education & Training

High School
Name City State
Diploma Awarded Yes No In Progress GED



College
Name City State
Diploma Awarded Yes No In Progress
Degree Major


Graduate School
Name City State
Diploma Awarded Yes No In Progress
Degree Major



Vocational/Other
Name City State
Diploma Awarded Yes No In Progress
Degree Major


Describe any non-employment experience such as school or volunteer activities that might strengthen your application:




Safety & Job Specific Certifications

Type
Provider Level Expiration



Type
Provider Level Expiration


Type
Provider Level Expiration



Employment History
List all previous employment during the past seven years starting with the most recent.

Job #1
Employer Name
Telephone
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact this employer Yes No
Dates Employed from to
Starting Salary $
Ending Salary $
Summarize below the nature of the work preformed and job resposibilities




Job #2
Employer Name
Telephone
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact this employer Yes No
Dates Employed from to
Starting Salary $
Ending Salary $
Summarize below the nature of the work preformed and job resposibilities



Job #3
Employer Name
Telephone
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact this employer Yes No
Dates Employed from to
Starting Salary $
Ending Salary $
Summarize below the nature of the work preformed and job resposibilities




Job #4
Employer Name
Telephone
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact this employer Yes No
Dates Employed from to
Starting Salary $
Ending Salary $
Summarize below the nature of the work preformed and job resposibilities



Explain any gaps in your employment history




What other business experience, personal experience or training have you had that may have prepared you for this position?


Personal References
List at least one relative

Reference #1
Name
Address
Email
Relationship
Phone
Years Known



Reference #2
Name
Address
Email
Relationship
Phone
Years Known


Reference #3
Name
Address
Email
Relationship
Phone
Years Known



Application Acknowlegement and Authorization

I authorize both the YMCA 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 consent to drug testing as may be requested by YMCA representatives.

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 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 Executive Director of the YMCA, 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 Executive Director of the YMCA 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 Grants Pass Family YMCA policies and rules at all times. I acknowledge that I have read the above statements and understand them.

Yes Please acknowledge that you have read the above statements by checking the box.

Please type your first and last name as your signature and date below
Name Date




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