Job Application

Columbia YMCA Application

Thank you for your interest in applying to the Columbia YMCA. This application should take 5-10 minutes, you will not be able to return to the application after you leave, please complete the application in its entirety in one sitting.

Personal Data

Date *

First Name *

Middle Name

Last Name *

Phone Number *

Email Address *

Current Address - Street *

Current Address - City *

Current Address - State *

Current Address - Zip *

Last Previous Address - Street *

Last Previous Address - City *

Last Previous Address - State *

Last Previous Address-Zip *

Number of Years at Other Address *

Are You 18 Years of Age or Over? *

Yes

No

Military Service *

Yes

No

If Yes, Dates of Military Service

Are You Authorized to Work in the United States? *

Yes

No

Other Names Used During Prior Employment

General

Position Type *

Full-Time

Part-Time

Temporary (Seasonal)

Acceptable Salary Range *

Notice Required *

Date Available *

If Applying for Seasonal Work, Are You Available to Work During the School Term?

Yes

No

Have You Previously Applied for Employment at Any YMCA? *

Yes

No

Worked for Any YMCA? *

Yes

No

If so, when? *

Location? *

Have you Failed to be Reemployed, ever been involuntarily discharged, fired or asked to resign a position? *

Yes

No

Give dates & circumstances *