Youth Development Leader – Open until filled – 0003

In addition to your online application please provide a current background check.

This is a specific application for Youth Development Leader at the Valdosta-Lowndes County YMCA.  

REQUIRED Availability hours:

Monday through Friday

2:15pm – 6:30pm

Apply Online

*First Name

*Middle Initial

*Last Name

Maiden Name (if applicable)

*Home Address

*City

*State

*Zip

*Phone

Organization

*Any special skills?

*Over 18?

Yes     No    

*E-mail Address

*Department

Child Care    

*Date Available

*Are you a YMCA member?

Yes     No    

If yes, please list dates and which YMCA

*Have you ever applied here before?

Yes     No    

If yes, when and for what position

*If currently employed, may we contact your present employer?

Yes     No    

*Do you have adequate transportation arrangements for regular work attendance?

Yes     No    

*Does our YMCA currently employ any of your close friends or relatives?

Yes     No    

If yes, what are their names & relation to you?

*Do you have experience with groups of children?

Yes     No    

If yes, indicate ages of children, your duties, dates of time you worked in this position, and reasons for leaving)

*Have you ever attended/completed any child care training courses?

Yes     No    

If Yes, Please List

*Do you have a criminal record?

Yes     No    

If yes, please explain

*Do you have a valid driver's license?

Yes     No    

If yes, give license number and class of license

If no, please explain

*Have you had CPR training within the past two years?

Yes     No    

If yes, give expiration date

*Have you had first aid training within the past year?

Yes     No    

*Have you ever been suspended, discharged, or allowed to resign in lieu of discharge?

Yes     No    

*Are there any reasons why you could not carry out any of the work assignments for which you are making application?

Yes     No    

Employer 1 - Name - Phone - Email

Employer 1 - Dates Employed From - To

Employer 1 - Duties

Employer 1 - Supervisors Name

*Employer 1 - May we contact?

Yes     No    

Employer 1 - Reason for leaving

Employer 1 - Full/Part/Seasonal

Full-time     Part-time     Seasonal    

Employer 2 - Name - Phone - Email

Employer 2 - Dates Employed From - To

Employer 2 - Duties

Employer 2 - Supervisors Name

Employer 2 - May we contact?

Employer 2 - Reason for leaving

Employer 2 - Full/Part/Seasonal

Full     Part     Seasonal    

Reference 1 - Name, Phone Number, Years known

*Reference 1 EmailReference checks are completed by email

Reference 2 - Name, Phone Number, Years known

Reference 2 EmailReference checks are completed by email

Family Reference 3 - Name, Phone Number, Years known, Relationship

Family Reference 3 EmailReference checks are completed by email

*Please list your day/hours of availabilityMoon-Friday, 2:15 - 6:30 is required

If you have a resume, please attach

Fields with (*) are compulsory.