List any friends or relatives working for us now. *
Your answer
List any certifications currently held
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Are you 18 or older? *
Emergency Contact Name and Phone Number *
Your answer
Highest Educational Level achieved? *
Please list your 3 previous employers to include employer name, address, phone, pay, position, duties, supervisor, length of employment, and reason for leaving. *
Your answer
List any Military Service you may have to include branch of service, rank, duties, special skills, and time in service.
Your answer
Signature and Date. I agree that by typing my name below and providing the date that the information included in this application is true, correct, and complete. I give permission for the YMCA of Wayne County to conduct a background check while considering my employment. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. *
Your answer
Submit your cover letter or resume. Copy and Paste here.