Revised 5/2012
YMCA of
Greater Cleveland
EQUAL OPPORTUNITY EMPLOYER
This application will remain active for 30 days.
Check one:
r Employment Application r Volunteer Application*
PERSONAL INFORMATION
Position
DAtE:
of intErEst:
nAmE:
ADDrEss:
CitY:
stAtE:
ZiP:
PhonE: (
)
EmAiL:
have you ever been employed at any branch of the YmCA of Greater Cleveland? r no r Yes - fill in below.
DAtEs:
BrAnCh:
Position(s):
Are you legally eligible for employment in the UsA? r no r Yes - Verificiation will be required upon employment.
If you are under 18 years of age, can you provide required proof of your eligibility to work? r no r Yes
Expected hourly rate or annual salary? (For Employment Only)
r hourly r Annually
$
have you ever been convicted of a misdemeanor involving theft, misrepresentation or moral turpitude (domestic
violence, assault, battery, child abuse, etc.) or of any felony? Conviction of a crime will not be an absolute bar to
employment or volunteering. r no r Yes - Please provide information request below.
DAtE
PLACE of ConViCtion
tYPE of CrimE AnD ConViCtion
AVAILABILITY
on what date will you be available to begin employment or volunteer?
Please indicate below when you are available to work or volunteer.
monDAY r AM r PM
tUEsDAY r AM r PM
WEDnEsDAY r AM r PM
sUnDAY r AM r PM
thUrsDAY r AM r PM
friDAY r AM r PM
sAtUrDAY r AM r PM