Revolution And Great Awekening
Metuchen Edison Woodbridge YMCA APPLICATION FOR EMPLOYMENT
Please indicate locations your application should be considered for:
Q Metuchen Branch CHILD CARE FACILITIES
Q Woodbridge Branch, Colonia Q Metuchen D Perth Amboy
LI Woodbridge Branch, Fords 3 Edison Q Avenel
U Woodbridge Community Center 3 Fords LJ Colonia
Q Edison Branch (N. Edison)
We are an equal opportunity employer. Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resource Department.
PERSONAL INFORMATION
NAME
DATE
SOCIAL SECURITY NUMBER
PRESENT ADDRESS
City
zip
PERMANENT ADDRESS
PHONE NO.
City State Zip
ARE YOU 18 YE ARS OR OLDER? Q YES Q NO
STATUS OF ORIGIN The Immigration Reform and Control Act of 1986 requires all new employees to answer the following questions:
ARE YOU A U.S. CITIZEN'' Q YES ARE YOU AN ALIEN LAWFULLY AUTHORIZED TO WORK IN THE UNITED STATES'
Q NO
(Form !-9 must be completed to certify eligibility for employment)
EMPLOYMENT DESIRED
POSITION
DATE YOU CAN START
SALARY DESIRED
ARE YOU EMPLOYED NOW?
IF SO MAY WE INQUIRE
OF YOUR PRESENT EMPLOYER?
WHERE?
WHEN?
* The Afle Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.
HAVE YOU EVER BEEN CONVICTED OF A CRIME?" Q YES Q NO If yes, describe:
"Anawering "yea™ to this question does not constiiute an automatic bar to...
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