Employment Application

Thank you for your interest in the YMCA!

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.

If you would like to apply to join the YMCA staff team, please complete this application. You may attach a resume (PDF file) at the end of this application.

  • The application must be completed in full
  • Do not leave any spaces blank or write “see resume” in response to any question
  • Initial electronically as indicated
  • Read and electronically sign the form at the bottom of the application


Notice to All Applicants:

Code of Conduct

  • Our staff will exhibit the highest ethical best practices and personal integrity.
  • Our staff will provide a professional work environment that is free from physical, psychological, written, or verbal intimidation or harassment.
  • Our staff will not physically, sexually, or emotionally abuse or neglect a youth or adult.
  • Our staff will share concerns about suspicious or inappropriate behavior with their supervisor or administrator.
  • Our staff will report any suspected abuse or neglect of a youth to the state authorities.
  • Our staff will accept their personal responsibility to protect youth and adults from all forms of abuse.

Notice to All Applicants: The YMCA enforces its policies and practices to prevent child abuse.

Allegations or suspicions of child abuse are taken very seriously at the YMCA and will be reported to the proper authorities for investigation. We have abuse reporting procedures, there are unscheduled visits from supervisors, we have an open door for parents, and we have a code of conduct for staff. We minimize opportunities for abuse to occur and we talk with children about personal safety and touching limits. We also screen carefully to prevent abusers from being hired and we provide child abuse prevention training to staff.

Employment Information:


Employment History:

Please list all employers for the past 7 years, starting from the most recent.

From to

From to

From to

From to

Please 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 (Please do not list relatives or past employers)

Reference #1:

Reference #2:

Reference #3:

Application Acknowledgement and Authorization

Please read all statements and sign below:

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 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 CEO 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 CEO 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 YMCA policies and rules at all times.