Employment Application

YMCA of Northwest Louisiana
P.O. Box 566
Shreveport, LA 71162
318.674.9600

The YMCA considers applicants for all positions without regard to race, color, religion, sex, national origin, age, or any other legally protected status. The YMCA is an equal opportunity employer.

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Position Applied For *

APPLICANT INFORMATION

Last Name *

First Name *

Middle Name

Preferred Name

(if different from above)

Address *

City *

State *

Zip *

Daytime Phone Number *

Evening Phone Number

Email Address *

EMPLOYMENT ELIGIBILITY

If you are under 18 years of age can you provide required proof of your eligibility to work? *

Have you ever been employed with us before? *

If yes, give dates:

Approximate start and end dates are acceptable.

Are you currently employed? *

May we contact your current employer? *

If yes, give your supervisor's name and phone number:

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? *

Proof of citizenship or immigration status will be required upon employment in accord with Federal Law

The YMCA is a non-smoking facility. Smoking in and around YMCA facilities and grounds is prohibited. Could you comply with this policy? *

Are you physically able to perform the duties of the job for which you are applying? *

If you have any concerns about this, please explain:

Have you been convicted of a felony within the last 7 years? *

Conviction will not necessarily disqualify an applicant from employment.

If yes, please explain:

Disclosure & Authorization Download

To be eligible for employment, all applicants must download the YMCA NWLA Statement of Job Applicant and the Disclosure/Authorization forms, sign then, and re-upload them below.

Applicants can find these forms here

To download, right click the link and click "Download Linked File".

Disclosure & Authorization Upload

Maximum file size: 20.97MB

AVAILABILITY

Date Available to Work *

Are you available to work: *

Full time

Part time

Temporary

What shifts are you available to work? *

Days

Evenings

Weekends

Additional Availability Information:

If you are human, leave this field blank.

YMCA of Northwest Louisiana

Employment Application

YMCA of Northwest Louisiana P.O. Box 566 Shreveport, LA 71162 318.674.9600

APPLICANT INFORMATION

EMPLOYMENT ELIGIBILITY

Disclosure & Authorization Download

AVAILABILITY

Quick Links

YMCA of Northwest Louisiana
P.O. Box 566
Shreveport, LA 71162
318.674.9600