Preliminary Employment Application

First Name

Last Name

Email

Phone

What position are you applying for?

What is your date of birth?

Are you eligible for employment in the United States of America?

Have you ever worked for the YMCA of Greater Toledo/Storer Camps in the past?

In the past 5 years, have you been convicted of a misdemeanor or in the past 7 years have you been convicted of a felony (Do not include traffic violations, juvenile offenses or military convictions unless by Grand Court Martial)?

List any past experience, skills, or information you feel would be of use in evaluating your qualifications for the position you seek (e.g. professional societies, academic achievements, military, positions/offices held in an organization, etc.) You may exclude information revealing race, color, national origin, religion, ancestry, disability or veteran status.

By typing my name below and submitting this preliminary application for employment with the YMCA of Greater Toledo, I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that the YMCA of Greater Toledo is relying on my complete honesty. I understand that any inaccuracy, misrepresentation, or incomplete answer provided by me in this application will cancel the application or may result in termination if I have been employed.