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Application for Employment 
or Download Application Form

YMCA Southcoast is an Equal Opportunity Employer. Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.

: Dartmouth
Fall River
New Bedford
Mattapoisett
Wareham
 
PERSONAL
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yes no
:
yes no
yes no
yes no
yes no
Life guard
CPR
First Aid
Aerobics
 
EDUCATION
  
Elementary School
  
High School
yes no
 
College
yes no
  
Business/trade/Technical School
yes no
 
Graduate School
yes no

EMPLOYMENT
Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer. Verifiable volunteer work will also be acceptable.
  

Hourly rate/salary


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Hourly rate/salary


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Hourly rate/salary


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Hourly rate/salary


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We may contact the employers listed above unless you indicate those you do not want us to contact.
 
PROFESSIONAL REFERENCES

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The information provided in this Application for Employment is true, correct and complete. If you employ me, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment creates no obligation upon you, the employer, to continue to employ me in the future.

I further give my permission and authorization for the YMCA of its authorized representative to investigate my references and employment history. I hereby release said companies and individuals from any liability for any damage whatsoever resulting from the giving of such information



  

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