Please review all sections of this application before starting, then complete all required questions completely

Boys & Girls Clubs of Monmouth County does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender expression/identity), national origin, political affiliation, sexual orientation, martial status, disability, genetic information, age, parental status, or military service.

We require FINGERPRINTING and a BACKGROUND CHECK upon offer of employment or volunteer service.

Your Information

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Phone(Required)

Mobile Phone

(If different from primary phone)

Best Time to Call You(Required)

If necessary, we may reach out to you at your primary or mobile phone.

Email(Required)

May we contact you at work?(Required)

Yes

Work Phone(Required)

Best Time to Call You at Work(Required)

Is there any other name(s) under which you have employment or education records?(Required)

Yes

Please indicate name(s) records are listed under(Required)

Use (+) to add more than one name

Have you ever been employed by the The Boys & Girls Clubs of Monmouth County before?(Required)

Yes

Please give the dates you were employed with us below:

Start Date(Required)

End Date(Required)

Gender(Required)

Preferred Pronoun(Required)

Are you legally eligible for employment in this country?(Required)

Proof of U.S. citizenship or immigration status will be required upon employment

Yes

Are you 18 years of age or older?(Required)

Yes

Can you furnish a work permit?(Required)

Yes

Have you been convicted of, plead guilty to, and/or plead no contest to a crime?(Required)

(Felony or misdemeanor, including but not limited to sexual offenses, theft, banking fraud, drug and/or alcohol-related offenses, assault, etc.)

Yes

Information About Your Conviction

Conviction may be relevant if the job related, but may not bar you from employment.

Date of Conviction(Required)

Court(Required)

Place of Occurrence(Required)

Type of Crime(Required)

Disposition(Required)

Position Applied For

Boys & Girls Clubs of Monmouth County Location(Required)

Asbury Park Unit

Red Bank Unit

Type of Employment Desired(Required)

Full-Time

Part-Time

Summer Camp

Volunteer

Work Study

Position Title or Category Applying For(Required)

Date Available for Work(Required)

Salary Requirement

Will you travel if the job requires it?(Required)

Yes

Do you possess a valid drivers license?(Required)

Yes

Will you work overtime if required?(Required)

Yes

Do you have previous Boys & Girls Club experience as either a volunteer or employee?(Required)

Yes

Where you a volunteer or employee?(Required)

Volunteer

Employee

Both

Which Club?(Required)

Name of Direct Supervisor(Required)

Start Date(Required)

End Date(Required)

Do you have any relatives working here?(Required)

Yes

Relative's Name

How did you hear about this position?

Part-Time or Volunteer Availability

Sunday

Afternoon (3-6pm)

Evening (6-9pm)

Other

Monday

Afternoon (3-6pm)

Evening (6-9pm)

Other

Tuesday

Afternoon (3-6pm)

Evening (6-9pm)

Other

Wednesday

Afternoon (3-6pm)

Evening (6-9pm)

Other

Thursday

Afternoon (3-6pm)

Evening (6-9pm)

Other

Friday

Afternoon (3-6pm)

Evening (6-9pm)

Other

Saturday

Afternoon (3-6pm)

Evening (6-9pm)

Other

You selected "Other" please describe your availability

High School or GED

High School or G.E.D. Test

High School or G.E.D. Test Address

Street Address Address Line 2 City State ZIP Code

Course of Study

Did You Graduate?

Number of Years Completed

College or University Name

Please complete if applicable

College or University Name

College or University Address

Street Address Address Line 2 City State ZIP Code

Course of Study

Did You Graduate?

Number of Years Completed

Technical, Trade, Business, or Military Experience

Please complete if applicable

Technical, Trade, Business or Military

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Trade Course of Study

Did You Graduate?

Number of Years Completed

List any other education, training, special skills, certificates, licenses, qualifications or rewards.

Employment History

Click "Add Employer" below for each employer you would like to add to this application.

List Employers

Please list employers from most recent to oldest.

Computer Software Skills

Word Processing(Required)

Basic

Advanced

N/A

Spreadsheets/Tables(Required)

Basic

Advanced

N/A

Email/Internet(Required)

Basic

Advanced

N/A

Desktop Publishing(Required)

Basic

Advanced

N/A

Please list any other computer/software/application skills

References (Excluding Relatives)

Click "Add Reference" for each reference you would like to add to this application.

List Your References

Additional Information

Can you perform the essential functions of this job (as detailed verbally or in the job description) with or without reasonable accommodations?(Required)

Yes

Please explain why you are applying for this position and what you hope to accomplish:(Required)

Applicant Agreement and Authorization to Release Reference Information(Required)

The information I have provided on this application is true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts, or incomplete answers in my applications materials, or during any interviews, may be considered sufficient cause for rejection of my application and also for dismissal, if discovered after I am employed or have begun a volunteer assignment.

Any offer of employment or volunteer service I may receive from Boys & Girls Clubs of Monmouth County is contingent upon my successful completion of the organization's total pre-employment screening process, including the organization's receiving of references that it considers satisfactory and completion of any post-offer pre-employment medical examination. I hereby consent to having the results of any post-offer pre-employment medical exam disclosed to BGCM.

I understand that as a condition of employment or volunteer service, I may be required to undergo and successfully pass a screening for alcohol and/or drugs. I also understand and agree that, if employed or selected for volunteer service, I may be required to submit to any alcohol or drug screening pursuant to the policies of BGCM.

I authorize Boys & Girls Clubs of Monmouth County to investigate all statements in this application and to secure any necessary information from all my employers, references, academic institutions, and all other necessary sources. I hereby release all of those employers, references, academic institutions, Boys & Girls Clubs of Monmouth County, and all others from any and all liability arising from their giving or receiving information about my prior employment, military record, education, character, general reputation, personal characteristics, criminal records, driver's abstract from Bureau of Motor Vehicle check and any other background check deemed necessary.

I also authorize Boys & Girls Clubs of Monmouth County to supply information about my employment record or volunteer service, in whole or part, in confidence to any prospective employer, government agency, or other party having a legal and proper interest, and I hereby release Boys & Girls Clubs of Monmouth County from any and all liability for proving this information. I understand that I have the right to make a written request within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of this investigation.

I understand that nothing in this employment/volunteer application, in Boys & Girls Clubs of Monmouth County's policy statements or personnel guidelines, or in my communications with any Boys & Girls Clubs of Monmouth County official is intended to create a contract between Boys & Girls Clubs of Monmouth County and me. I also understand that Boys & Girls Clubs of Monmouth County has the right to modify its policy without giving me any notice of the changes. No promises regarding employment have been made to me. I UNDERSTAND THAT IF AN EMPLOYMENT RELATIONSHIP IS ESTABLISHED, THAT EITHER THE EMPLOYER OR EMPLOYEE MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT PRIOR NOTICE.

I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE PRECEDING STATEMENTS.

Signature(Required)

Please use your mouse or finger if you are on a touch screen to sign in the box below.

Date

Background Verification Authorization

APPLICANT- PLEASE COMPLETE THE SECTION BELOW AND SIGN

Name(Required)

First Middle Last

Date of Birth(Required)

This information is required for identification purposes only and is in no manner used as a qualification for employment.

Social Security Number(Required)

Drivers License Number

(A Motor Vehicle Record check may be done when driving is involved in job duties.)

Please list addresses and dates for the past 7 years

Click (+) to add a new address

Signature

Please use your mouse or finger if you are on a touch screen to sign in the box below.

Date

Phone

This field is for validation purposes and should be left unchanged.

Upcoming Events

18th Annual Swing for the Kids Golf Outing

The Great Futures Gala

Employment & Volunteer Application

Your Information

Information About Your Conviction

Position Applied For

Part-Time or Volunteer Availability

High School or GED

College or University Name

Technical, Trade, Business, or Military Experience

Employment History

Computer Software Skills

References (Excluding Relatives)

Additional Information

Background Verification Authorization

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