Please mark all that apply.

Please list the last three positions you have held, beginning with the most recent employer.

Please complete THREE references with people who have known you for at least two years. Preference is given to academic references. Do NOT include relatives unless they were also your supervisor in a family-owned business. These references may be contacted by phone or email along with your previous employers listed. Employment is contingent upon our ability to contact references. We recommend you notify your references they may be contacted and request they reply promptly.

Please read the following statements and sign below to complete your employment application.

I hereby declare that the information provided by me in this employment application is true, correct, and complete to the best of my knowledge. I also understand that any falsification or omission of fact may be cause for immediate dismissal.

I authorize YWCA McLean County or anyone acting on behalf of YWCA McLean County to thoroughly investigate my references, employment history, work record (including disciplinary reports and letters of reprimand), education, criminal conviction record, and any other matters relevant to my suitability for employment, without giving me notice of such disclosure. I understand that YWCA McLean County reserves the right to conduct a full background check and/or obtain a consumer report.

I hereby fully release and discharge YWCA McLean County, my former employers, their respective officers, employees, and agents, and all other persons and entities from any and all claims, demands, and liabilities arising out of or in any way relating to such investigation or disclosure.

Please note that the above mentioned checks will be done after the interview process.