Online Employment Application Please note: Olivet Boys & Girls Club will not accept incomplete Employment Applications. All information must be provided. If there is an information field which does not apply, please write N/A.General QuestionsName(Required) First Last T-Shirt Size(Required)Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are you authorized to work in US?(Required) Yes Are you at least 18 years? (if not do you have a work permit?)(Required) Yes Why the Olivet Boys & Girls Club?(Required)Were you referred by an employee?(Required) Yes No If yes, who?Have you been previously employed by the Olivet Boys & Girls Club?(Required) Yes No What dates were you employed by the Olivet Boys & Girls Club?What position did you have at the Olivet Boys & Girls Club?What location did you work at?Do you have any relatives that work at Olivet Boys & Girls Club?(Required) Yes No What dates were they employed by the Olivet Boys & Girls Club?What position did they have at the Olivet Boys & Girls Club?What location did they work at?Are you a former Olivet Boys & Girls Club Member(Required) Yes No PositionPosition Applying For:(Required)Salary/Hourly Rate Requirements(Required)Date Available(Required) MM slash DD slash YYYY Education & SkillsSchool Name & Location(Required)This school is a:(Required) High School College Other Major(Required)Graduate(Required) Yes No Currently in progress Degree / Certifications(Required)Microsoft Office Experience?(Required) Beginner Moderate Expert Other software experience?(Required)Languages Spoken?(Required)Prior Experience working with children?(Required)Which club/department would you like to work in?(Required) Clinton – 677 Clinton St. Reading, PA 19601 Pendora – 330 S 19th St. Reading, PA 19606 Oakbrook – 1161 Pershing Blvd. Reading, PA 19611 PAL – 325 Walnut St. Reading, PA, 19601 CFA – 328 Walnut St. Reading, PA 19601 Mulberry – 722 Mulberry St. Reading, PA 19604 DREAM – 330 S 19th St. Reading, PA 19606 Administration Aquatics Transportation Maintenance Reading Police Youth Academy Work ExperienceCompany Name(Required)Your Title(Required)Company Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Start Date(Required) MM slash DD slash YYYY End Date(Required) MM slash DD slash YYYY Starting Salary(Required)Ending Salary(Required)Supervisor Name(Required)Supervisor Title(Required)Supervisor Phone(Required)May we contact?(Required) Yes No Duties and responsibilities(Required)Reason for leavingCompany Name(Required)Your Title(Required)Company Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Start Date(Required) MM slash DD slash YYYY End Date(Required) MM slash DD slash YYYY Starting Salary(Required)Ending Salary(Required)Supervisor Name(Required)Supervisor Title(Required)Supervisor Phone(Required)May we contact?(Required) Yes No Duties and responsibilities(Required)Reason for leaving(Required)Company NameYour TitleCompany Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting SalaryEnding SalarySupervisor NameSupervisor TitleSupervisor PhoneMay we contact? Yes No Duties and responsibilitiesReason for leavingReferencesPlease provide 3 professional referencesReference 1 Name(Required) First Last Reference 1 Phone(Required)Reference 1 Relationship(Required)Reference 1 Email(Required) May we contact?(Required) Yes No Reference 2 Name(Required) First Last Reference 2 Phone(Required)Reference 2 Relationship(Required)Reference 2 Email(Required) May we contact?(Required) Yes No Reference 3 Name(Required) First Last Reference 3 Phone(Required)Reference 3 Relationship(Required)Reference 3 Email(Required) May we contact?(Required) Yes No Background ChecksDo you have current DHS compliant background checks?(Required) PA Childline PA State Police Clearance FBI Fingerprinting N/A AUTHORIZATION TO RELEASE EMPLOYMENT REFERENCE INFORMATIONI understand that Olivet Boys & Girls Club will attempt to verify statements made on my application and made during my employment interview. I hereby give my permission for my former employers to answer any and all questions based upon information available to them in my prior employment records. I understand that it is possible that my prior employment records may not be accurate. Nonetheless, in consideration of Olivet Boys & Girls Club's review of this application and my candidacy for employment, I release Olivet Boys & Girls Club and all former employers from any liability as a result of the furnishing and receiving of this reference information. I understand that my failure to sign this reference release so Olivet Boys & Girls Club can contact references and make a full background check of my previous work history will be deemed interference with and a withdrawal of my application for employment.I agree to the above(Required) Yes No JOB APPLICANT AGREEMENTI understand that Olivet Boys & Girls Club requires certain information about me to evaluate my qualifications for employment and conduct its business if I become an employee. I understand that false, incomplete, or misleading statements on this application may be considered sufficient cause for rejection of my application and for dismissal, if discovered after I am employed by Olivet Boys & Girls Club. The use of this application does not indicate there are positions open and does not in any way obligate Olivet Boys & Girls Club. I also authorize Olivet Boys & Girls Club to supply information about my employment record, in whole or in part, in confidence to any prospective employer, government agency, or other party having a legal and proper interest, and I hereby release Olivet Boys & Girls Club from any and all liability for its providing 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. In consideration of my potential employment, I agree to conform to the rules of Olivet Boys & Girls Club. I understand that I have the right to terminate my employment at any time with or without notice, with or without cause, and that Olivet Boys & Girls Club has a similar right. I understand my employment by Olivet Boys & Girls Club does not constitute a guarantee that any position be continued for any length of time or that any job assignment or shift be permanent. I understand that I may be required to work scheduled and unscheduled overtime and scheduled weekend and holiday work when required by Olivet Boys & Girls Club. I also understand that Olivet Boys & Girls Club has the right to modify its policies without giving me any notice of the changes. No promises regarding employment have been made to me. I understand that no one other than the CEO of Olivet Boys & Girls Club has authority to make any other agreement. The Immigration Reform and Control Act of 1986 requires that, after employment, employers verify the legal work authorization and identity of all new employees. An offer of employment will depend upon Olivet Boys & Girls Club's ability to verify this necessary information. Applications will not be considered active after the position is filled. I understand that Olivet Boys & Girls Club will attempt to verify statements made on my application and made during my employment interview.I agree to the above(Required) Yes No EQUAL OPPORTUNITY EMPLOYERQualified applicants receive consideration for employment without discrimination because of age, sex, religion, marital status, race, color, creed, national origin or disabilityI agree to the above(Required) Yes No Please type your full name in the box below. This acts as your signature.(Required)I agree to my electronic signature above.(Required) Yes Today's Date(Required) MM slash DD slash YYYY