YWCA employment application

To apply for an employment position online, please complete the following form:

First Name: *

Last Name: *

Middle Name: *

Mailing Street Address: *

City: *

State: *

Zip: *

Permanent Street Address: *

Permanent City : *

Permanent State: *

Permanent Zip: *

Work Phone:

Home Phone: *

Cell Phone:

Email:

Are you at least 18 years of age?: *

If hired, can you furnish proof of eligibility to work in the United States?: *

Have you previously been employed by the YWCA?: *

If yes, list date and location:

Under what name have you previously applied or been employed?:

Do you have any relatives employed at the YWCA?: *

If yes, please list name and relationship:

Have you been convicted of a felony or misdemeanor, which resulted in imprisonment? : *

If yes, please specify the offense, state and county of occurrence and year:

Position Applying For: *

Are you interested in...(check all that apply): *

Salary requirements: *

Date available to begin work: *

Will you work over-time if necessary?: *

Name & location of high school:

High school course of study:

High school diploma earned?:

High school years completed:

Trade or technical school name & location:

Trade or technical school course of study:

Did you graduate?:

Years completed?:

Trade or technical school degree held?:

College name & location:

College course of study:

Did you graduate from college?:

How many years of college did you complete?:

What, if any, degree do you hold?:

Graduate school & location:

Graduate school course of study:

Did you graduate?:

What degree did you earn?:

Please select the skills you currently possess:

Indicate your interests by selecting the appropriate areas:

Present or most recent employer:

Employer address:

Supervisor name & title:

Starting position title & duties:

Reason for leaving or seeking new employment:

Length of employment (give beginning and ending mo/yr):

Starting base pay:

Ending base pay:

If you are a final candidate for a position with us, may we contact your present employer?:

First previous employer:

First previous employer address:

First previous supervisor name & title:

First previous starting position title & duties:

First previous reason for leaving or seeking new employment:

First previous length of employment (give beginning and ending mo/yr):

First previous starting base pay:

First previous ending base pay:

Second previous employer:

Second previous employer address:

Second previous supervisor name & title:

Second previous starting position title & duties:

Second previous reason for leaving or seeking new employment:

Second previous length of employment (give beginning and ending mo/yr):

Second previous starting base pay:

Second previous ending base pay:

Third previous employer:

Third previous employer address:

Third previous supervisor name & title:

Third previous starting position title & duties:

Third previous reason for leaving or seeking new employment:

Third previous length of employment (give beginning and ending mo/yr):

Third previous starting base pay:

Third previous ending base pay:

Activities & experience:

List any activities, experiences, achievements, or other special skills not mentioned elsewhere that relate to the position for which you are applying

Authorization & acknowledgement:

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed regardless of the time elapsed before discovery.

I hereby authorize the organization to thoroughly investigate my references, work record, education, and other matters related to my employment and further, authorize the references I have listed to disclose to the organization any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure.

I understand that employment is subject to my satisfying employment and eligibility requirements of the Immigration Reform and Control Act of 1986.

If I am employed by the organization, I will comply with all policies, rules, regulations, and directives. I further understand that these rules and regulations may be changed, interpreted, withdrawn or added to by the organization at any time, at the organization’s sole option and without any prior notice to me.

I understand that nothing contained in the application, or conveyed in any interview which may be granted or during my employment, if hired, is intended to create an employment contract between the organization and me. I understand that all employees are “At Will” employees. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the organization, and that no promises or representations contrary to the foregoing are binding on the organization unless made in writing and signed by me and the organization’s designated representative.

I certify that have read in and agree to abide to the above statements. In addition, I certify to the best of my knowledge the information on this application is true and correct.

By selecting "Yes" in response to this question, I hereby agree to this authorization and acknowledgement statement.

YWCA of Greater Atlanta

YWCA employment application