YMCA of Hamilton Burlington Brantford Employment Form

YMCA Employment Application Form
Position being applied for	Date available to being work

YMCA Employment Application Form

Position being applied for

Date available to being work

Personal Data
Last Name	Given Name	Initial
Address: Street	Apt #	Home Telephone #
City	Province	Postal Code	Bus. Telephone #
Email

Are you legally eligible to work in Canada?	Yes	No
Are you over 18 years of age?	Yes	No
To determine your qualifications for employment, please provide below and on the reverse, information related to your academic and other achievements including volunteer work, as well as employment history. Additional information may be attached at the end.

Personal Data

Last Name

Given Name

Initial

Address: Street

Apt #

Home Telephone #

City

Province

Postal Code

Bus. Telephone #

Are you legally eligible to work in Canada?

Yes

Are you over 18 years of age?

Yes

To determine your qualifications for employment, please provide below and on the reverse, information related to your academic and other achievements including volunteer work, as well as employment history. Additional information may be attached at the end.

Education
Secondary School	Business or Trade School
Highest grade or level completed	Name of Program	Length of Program
License, certificate or diploma awarded? Yes No	Type

Community College	University
Name of Program	Length of Program	Diploma/Degree Awarded Yes No Honours
Major subject
Other courses, workshops, seminars	Licenses, Certificates, Degrees

Education

Secondary School

Business or Trade School

Highest grade or level completed

Name of Program

Length of Program

License, certificate or diploma awarded?
Yes No

Type

Community College

University

Name of Program

Length of Program

Diploma/Degree Awarded
Yes No Honours

Major subject

Other courses, workshops, seminars

Licenses, Certificates, Degrees

Work Related Skills
Describe any of your work related skills, experience, or training that relate to the position being applied for.

Work Related Skills

Describe any of your work related skills, experience, or training that relate to the position being applied for.

Employment
Name present / last employer	Job Title
Period of employment:	From:	To:
Function/ Responsibilities

Name previous employer	Job Title
Period of employment:	From:	To:
Function/ Responsibilities

Name previous employer	Job Title
Period of employment:	From:	To:
Function/ Responsibilities

For employment references we may approach:
Your present/last employer?	Yes No
Your former employer(s)	Yes No
You may attach your resume or additional references.

Employment

Name present / last employer

Job Title

Period of employment:

From:

To:

Function/
Responsibilities

Name previous employer

Job Title

Period of employment:

From:

To:

Function/
Responsibilities

Name previous employer

Job Title

Period of employment:

From:

To:

Function/
Responsibilities

For employment references we may approach:

Your present/last employer?

Yes No

Your former employer(s)

Yes No

You may attach your resume or additional references.

By submitting my application I hereby declare that the foregoing information is true and complete to my knowledge, I understand that a false statement may disqualify me from employment or cause my dismissal.

Privacy Statement: The Hamilton Burlington YMCA and any groups that are officially associated with the Hamilton Burlington YMCA (HB YMCA) respect your personal privacy. We appreciate your concern about your personal information, and believe ensuring the security of your personal information is an important part of our job. We strive to protect any personal information you give to HB YMCA (address, name, email address, phone number etc.) If we ask you to provide us with any personal information, we will tell you the purposes for which we intend to use that information. We will not collect, use, or disclose your personal information without your consent. We collect no personal information about you unless you choose to provide that information to us. We do not use techniques that collect personal information about you without your knowledge. Your personal information is not lent or sold to anyone for any purpose. It is our intention to fully comply with the "Personal Information Protection and Electronic Documents Act" passed by the Government of Canada in April 2000 - for your benefit and ours.