Fillable T hank you for your interest in employment (YWCA Lancaster)

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T hank you for your interest in employment (YWCA Lancaster)

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  • 20 check-boxes
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T
hank you for your interest in employment with the YWCA Lancaster. We are committed to recognizing and
rewarding our employees, maintaining a positive work environment, and providing opportunities for
professional growth.
This is an application to be considered for employment by the YWCA Lancaster. Please complete this
application thoroughly. Failure to complete this application thoroughly may result in your disqualification from
consideration for employment. All applications will be considered and held for 3 months. Please Print.
M
ISSION
YWCA Lancaster is dedicated to eliminating racism, empowering women and promoting peace, justice,
freedom and dignity for all.
E
QUAL OPPORTUNITY EMPLOYMENT STATEMENT
The YWCA Lancaster in its Purpose calls for commitment to the struggle for peace and justice, freedom and dignity
for all people. In its daily operation it must persistently implement these aims. The Equal Employment Opportunities
policy of the YWCA is a legal and a social necessity to the Association Mission and to comply with appropriate local,
state and federal laws.
Equal employment opportunity will be applied in practices of recruitment, hiring, compensation, fringe benefits, staff
development and training, promotion and any other condition of employment, regardless of race, color, religion, sex,
disability, age (over 40), sexual orientation, gender identity, gender expression, national origin or any other legally
protected characteristic.
C
LEARANCES
All positions at the YWCA Lancaster require a PA Criminal Record Check and a PA Child Abuse History
Clearance. Some positions require an FBI clearance.
YWCA Lancaster
110 N Lime Street
Lancaster, PA 17602
(71
7) 39
3-1735
Fax (717) 396-0513
Email: employment@ywcalancaster.org
www.ywcalancaster.org
APPLICATION FOR EMPLOYMENT
PERSONAL INFORMATION
NAME
LAST FIRST MIDDLE
PRESENT ADDRESS
STREET CITY STATE ZIP
PHONE NUMBER EMAIL ADRESS
DO YOU HAVE THE LEGAL RIGHT TO WORK IN THE USA? YES NO
ARE YOU 18 YEARS OR OLDER? YES NO
EMPLOYMENT DESIRED
POSITION APPLIED FOR:
SALARY REQUIREMENTS: DATE YOU CAN START
HAVE YOU EVER WORKED FOR THE YWCA BEFORE? YES NO (IF YES PLEASE PROVIDE DETAILS):
HOW WERE YOU REFERRED TO US?
EDUCATION
NAME AND LOCATION
OF SCHOOL
# OF YEAR
ATTENDED
DEGREE/CERTIFICATE
HIGH SCHOOL
COLLEGE
GRADUATE SCHOOL
TRADE, BUSINESS,
TECHNICAL SCHOOL
PREFERRED PRONOUNS
GENERAL
SKILLS AND QUALIFICATIONS
CERTIFICATIONS
LICENSE/CERTIFICATE #
DATE
EARNED
VOLUNTEER EXPERIENCE
LIST ANY LANGUAGES YOU SPEAK, READ OR WRITE AND LEVEL OF PROFICIENCY
SPECIAL ACCOMPLISHMENTS, PUBLICATIONS, AND AWARDS
WORK-RELATED REFERENCES
(GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU WHO HAVE KNOWLEDGE OF YOUR ABILITIES AND EXPERIENCE.)
NAME
ADDRESS
BUSINESS
PHONE NUMBER
IF YOU ARE PRESENTLY EMPLOYED, MAY WE CONTACT YOUR PRESENT EMPLOYER? YES NO
IF YOU ARE PRESENTLY EMPLOYED, WHY DO YOU WANT TO CHANGE YOUR POSITION?
EMPLOYMENT HISTORY (DO NOT WRITE “SEE RESUME”)
EMPLOYER PHONE NUMBER
ADDRESS
STREET CITY STATE ZIP
DATES EMPLOYED SALARY RECEIVED
POSITION AND DUTIES
REASON FOR LEAVING
EMPLOYER PHONE NUMBER
ADDRESS
STREET CITY STATE ZIP
DATES EMPLOYED SALARY RECEIVED
POSITION AND DUTIES
REASON FOR LEAVING
EMPLOYER PHONE NUMBER
ADDRESS
STREET CITY STATE ZIP
DATES EMPLOYED SALARY RECEIVED
POSITION AND DUTIES
REASON FOR LEAVING
EMPLOYER PHONE NUMBER
ADDRESS
STREET CITY STATE ZIP
DATES EMPLOYED SALARY RECEIVED
POSITION AND DUTIES
REASON FOR LEAVING
ADDITIONAL INFORMATION
WHY ARE YOU APPLYING FOR THIS POSITION?
PLEASE READ BEFORE SIGNING. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE
ASK THEM OF THE DIRECTOR OF PERSONNEL AND ADMINISTRATION BEOFRE SIGNING.
I HE
REBY GIVE THE YWCA LANCASTER THE RIGHT TO MAKE A THOROUGH INVESTIGATION INTO MY
PREVIOUS EMPLOYMENT, EDUCATION, REFRENCES AND CRIMINAL HISTORY. THE YWCA LANCASTER WILL
TAKE INTO ACCOUNT ONLY POTENTIALLY JOB-RELATED CONVICTIONS IN MAKING AN EMPLOYMENT
DECISION. I RELEASE ALL LIABILITY TO ALL PERSONS, COMPANIES AND CORPORATIONS SUPPLYING SUCH
INFORMATION.
I UNDE
RSTAND THAT NOTHING CONTAINED IN THE EMPLOYMENT APPLICATION OR IN THE GRANTING OF AN
INTERVIEW IS INTENDED TO CREATE AN EMPLOYMENT RELATIONSHIP. I UNDERSTAND THAT IF AN
EMPLOYMENT RELATIONSHIP IS ESTABLISHED IT IS EMPLOYMENT AT-WILL. EMPLOYMENT AT-WILL MAY BE
TERMINATED AT THE WILL OF EITHER ME OR THE YWCA LANCASTER. EMPLOYMENT MAY BE TERMINATED
WITH OR WITHOUT CAUSE AT ANY TIME BY ME OR THE YWCA LANCASTER. TERMS AND CONDITIONS OF
EMPLOYMENT WITH THE COMPANY MAY BE MODIFIED AT THE SOLE DISCRETION OF THE YWCA LANCASTER
WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.
I UNDE
RSTAND THAT ANY FALSE OR MISLEADING ANSWER, STATEMENT OR REPRESENTATION MADE BY ME
IN THIS APPLICATION MAY CONSITITUTE SUFFICIENT CAUSE FOR DISCHARGE. I CERTIFY THAT ALL
STATEMENTS MADE BY ME ON THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY
KNOWLEDGE AND THAT I HAVE WITHHELD NOTHING THAT WOULD, IF DISCLOSED, AFFECT THIS
APPLICATION UNFAVORABLY.
I UNDERSTAND THAT IF I ACCEPT EMPLOYMENT I MUST COMPLY WITH ALL THE RULES, REGULATIONS AND
POLICIES OF THE YWCA LANCASTER. I UNDERSTAND THAT UPON OFFER AND ACCEPTANCE OF A POSITION
WITH YWCA LANCASTER I WILL BE REQUIRED TO IMMEDIATELY FURNISH DOCUMENTATION ESTABLISHING
MY IDENTITY AND ELIGIBILITY TO BE LEGALLY EMPLOYED IN THE UNITED STATES.
I UNDE
RSTAND THAT YWCA LANCASTER IS IN NO WAY OBLIGATED TO PROVIDE EMPLOYMENT AND ALSO
THAT I AM IN NO WAY OBLIGATED TO ACCEPT EMPLOYMENT, IF OFFERED. THIS APPLICATION DOES NOT
BIND EITHER PARTY, AND THE STATEMENTS CONTAINED HEREIN DO NOT CONSTITUTE AND SHOULD NOT BE
INTERPRETED TO CONSTITUTE ANY SORT OF CONTRACT OF EMPLOYMENT FOR A SPECIFIC PERIOD OF
TIME.
I HE
REBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE STATEMENT AND UNDERSTAND THE SAME.
SIGNATURE OF APPLICANT DATE
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signature
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NOTICE TO APPLICANTS
THE YWCA LANCASTER IS AN EQUAL OPPORTUNITY EMPLOYER. THE FOLLOWING DATA IS
REQUESTED FOR STATISTICAL PURPOSES RELATING TO COMPLIANCE WITH GOVERNMENT
AFFIRMATIVE ACTION REQUIREMENTS AND WILL BE RECORDED AND FILED SEPARATELY
FROM YOUR EMPLOYMENT APPLICATION. COMPLETING THIS SECTION IS OPTIONAL.
POSITION APPLIED FOR: DATE:
CHECK ONE: FEMALE MALE
CHECK ALL THAT APPLY:
AFRICAN AMERICAN HISPANIC
AMERICAN INDIAN WHITE
ASIAN
CHECK ONE:
VETERAN YES NO
DISABLED
YES NO
YES – DISABLED VETERAN
■
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T hank you for your interest in employment (YWCA Lancaster)

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Completed 1 March 2021

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