YMCA of Greater Houston

Perry Family YMCA Application for Employment

YMCA of The Greater Houston Area


An Equal Opportunity Employer


APPLICATION FOR EMPLOYMENT


Thank you for your interest in employment with the YMCA of the Greater Houston Area.  The YMCA is an equal opportunity employer and selects the best matched individual for each position based on job-related qualifications, regardless of race, religion, national origin, age, sex, veteran status, disability or other protected status under state, federal or local employment laws.

NOTE: A conviction record will not necessarily be a bar to employment. Factors such as age, time of offense, seriousness, nature of the violation(s), and rehabilitation will be taken into consideration.
IN CASE OF EMERGENCY, NOTIFY
EDUCATION HISTORY
SCHOOL NAME(S) AND ADDRESS(ES)
OFFICE SKILLS (If applicable)
CERTIFICATIONS, LICENSES & SPECIALIZED SKILLS
(List only if related to job. Provide expiration date, if applicable)
THIS SECTION TO BE COMPLETED ONLY BY APPLICANTS WHO MAY BE REQUIRED TO DRIVE A YMCA VEHICLE
EMPLOYMENT HISTORY
(1) EMPLOYED BY
DATE
RATES OF PAY
(2) EMPLOYED BY
DATES
RATES OF PAY
(3) EMPLOYED BY
DATES
RATES OF PAY
I further release and hold harmless any and all companies and individuals listed, along with the YMCA and its employees and representatives from any and all claims and liability in connection with the release of information concerning my job performance and employment history.
YMCA of GREATER HOUSTON CONFIDENTIAL PRE-EMPLOYMENT SURVEY
TO ALL APPLICANTS: Qualified applicants are considered for employment, and employees are treated during employment, without regard to race, color, religion, sex, age, national origin, citizenship status, veteran status or disability, or other factors protected by federal, state, or local law. As part of our continuing commitment to Equal Employment Opportunity, the Company has an Affirmative Action Program for females, minorities, individuals with a disability, Vietnam-Era Veterans and Special Disabled Veterans. This plan reflects our policy of hiring and promoting individuals based on ability and potential and without regard to those facts that have no bearing on the execution of job responsibilities. In order to help us comply with federal/state equal employment opportunity recordkeeping, reporting and other legal requirements, please answer all questions below.
Provision of this information is VOLUNTARY, and will not have an adverse effect on our determination of your job-related qualifications. Refusal to provide this information will not result in adverse treatment. This information will be kept in a CONFIDENTIAL file, seperate from the application for employment.
Race/Ethnic GrouP (PLEASE INDICATED ONLY ONE):
A "VETERAN OF THE VIETNAM ERA" means a person who: (1) served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred: (i) in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or (ii) between August 5, 1964, and May 7, 1975, in all other cases; or (2) was discharged or released from active duty for a service-connected disability if any part of such active duty was performed: (i) in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or (ii) between August 5, 1964, and May 7, 1975, in all other cases.
An "OTHER VETERAN" means a veteran who served on active duty during a war or in a campaign or expedition for which a campaign badge has been authorized. (Ask us if you need further information, or you may view a complete list of campaigns on the Internet at: http://www2.dol.gov/dol/vets/public/programs/programs/preference/medalawa.htm.)
Information concerning your status will be kept confidential except to the extent necessary to provide special accomodations or emergency treatment. Government officials may be informed where required. Your participation is voluntary; failure to respond will not result in adverse treatment.
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION. PLEASE READ THE FOLLOWING CAREFULLY BEFORE YOU SIGN BELOW.
I understand that this only an application for employment, that no employment is being offered, and that this and any other YMCA documents are not contracts of employment. I understand that any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon by any prospective or existing employee. Any person who is hired will be employed "at-will," and may voluntarily leave employment without notice or may be terminated by the YMCA without notice at any time, for any reason. I understand that the YMCA is free to change wages, benefits, policies, and conditions of employment at any time.
I understand that proof of identity and legal eligibility for employment will be required upon employment. I understand that the YMCA of Greater Houston believes and practices five core values: Honesty, Respect, Responsibility, Caring & Faith. I understand that the YMCA is a drug-free employer and has a Substance Abuse Policy which includes, but is not limited to, pre-employment screening, as well as random, post-accident, and "reasonable suspicion" testing.
I understand that any offer of employment is contingent upon successfully passing a criminal history review and a pre-employment drug screen, in addition to any interviews and required certifications/licenses. Additionally, a physical examination, and verification of an acceptable motor vehicle driving record may be required for applicable job categories.
I certify that all statements and information I have given in the course of applying for a position with the YMCA are true and complete. I authorize the YMCA to thoroughly investigate and verify all data, oral statements, and related papers submitted in relation to my application for employment. I understand that any material misrepresentation(s) or omission(s), made in the course of applying for a job may be justification for refusal of employment or termination, if hired, regardless of time of discovery. I agree to abide by all present and any subsequently issued rules and policies of the YMCA.