YMCA Calgary - Job Application Form

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EMPLOYMENT & VOLUNTEERING

Employment Opportunities

YMCA Calgary Application Form

Please note: This form is not for YMCA Camp Chief Hector applications. Click here for the YMCA Camp Chief Hector form.

Position applied for: *

PERSONAL DATA
Name	*
Address	*
City:	*
Province:	*
Postal Code:	*
Home phone	*
Business phone
Email:
Type of employment	Full-time Part-time
Have you previously held a position with the YMCA?	Yes No
Where?
When?
Position
Are any of your relatives employed by the YMCA?	Yes No
Where?
When?
Name

EDUCATION (Verification of education level may be requested)
High school:
Name of school
Diploma completed	Yes No
Enrolled Year	Year Month
To	Year Month
Business college or technical school:
Name of school
Specialized subjects
Degree, diploma, or certificate received
Completed?	Yes No
Enrolled Year	Year Month
To	Year Month
University or post-graduate:
Name of school
Specialized subjects
Degree, diploma, or certificate received
Completed?	Yes No
Enrolled Year	Year Month
To	Year Month
Other related courses:
Name of school
Specialized subjects
Degree, diploma, or certificate received
Completed?	Yes No
Enrolled Year	Year Month
To	Year Month
If applicable:
Trade certificate number
Driver’s license number
Interprovincial	Yes No
Class
Professional memberships

EMPLOYMENT HISTORY
Employer
Address
Telephone
Your title and duties
Date of employment	Year Month
To	Year Month
Salary
Hours worked weekly
Supervisory responsibility?	Yes No
Explain:
Name of immediate supervisor
Reason for seeking other employment
Employer
Address
Telephone
Your title and duties
Date of employment	Year Month
To	Year Month
Salary
Hours worked weekly
Supervisory responsibility?	Yes No
Explain
Name of immediate supervisor
Reason for seeking other employment:
Employer
Address
Telephone
Your title and duties
Date of employment	Year Month
To	Year Month
Salary
Hours worked weekly
Supervisory responsibility?	Yes No
Explain:
Name of immediate supervisor
Reason for seeking other employment:

RELATED VOLUNTEER EXPERIENCE
Organization
Address
Telephone
Your title and duties
Date of service	Year Month
To	Year Month
Hours worked weekly
Name of immediate supervisor
Organization
Address
Telephone
Your title and duties
Date of service	Year Month
To	Year Month
Hours worked weekly
Name of immediate supervisor

REFERENCES I authorize you to obtain references from my past and present employers / supervisors
Name
Years known
Address
Telephone
Name
Years known
Address
Telephone

GENERAL INFORMATION Please include any additional information that you would like to bring to our attention:

DECLARATION I certify that the statements made by me in this application are true and complete. I understand that a false statement may disqualify me from employment, or result in dismissal.
Date
Name