I understand that this application is only valid for the position applied for at present and that the YMCA is not obligated to retain or consider this application for future openings.
I authorize investigation of all statements contained in this application. I understand that falsification, misrepresentation or omission of facts called for will result in an immediate ending of this volunteer position or removal of my application from consideration. I authorize the YMCA to secure information about my experience with former employers, education institutions and agencies, and for those parties to provide information concerning my experience releasing all parties from any liability arising there from.
If accepted by the YMCA I will abide by YMCA’s policies and procedures. I understand that I will be required to possess a current and valid driver’s license and vehicle insurance if my position requires me to drive in the course of my work.
If I am offered a position, I understand and agree that I may be required to undergo a physical examination at the YMCA’s expense and that my offer of said position may be conditioned by that examination. I agree to authorize release of all results or information obtained from such physical examinations.
I agree to submit to legally permissible drug and/or alcohol testing upon request by the YMCA. I recognize that the results of these tests may be used to determine my position with the YMCA. I understand and expressly agree that if accepted by the YMCA storage areas provided for me (locker, desk, etc.) are open to investigation by the YMCA without prior notice to me.
My signature certifies that I have never been convicted of or reported for abuse, neglect, sexual assault, or a related charge, against a child, as defined by the Colorado Revised Statutes. Furthermore, I am aware of the Colorado Revised Statute which states that intentionally/willfully placing a child in a position of danger with intent to commit harm to said child, or placing child in a position of mistrust to include sexual misconduct with a child, is punishable by law. I also understand the Administrative Staff of the YMCA is required to report any such misconduct to the proper authorities. Such misconduct will be grounds for immediate suspension and possible prosecution and termination. Any applicant who knowingly or willfully makes a false statement of any material fact in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S. and, upon conviction thereof, shall be punished accordingly.
My signature below certifies that I have read and understand the foregoing and to the best of my knowledge and belief, the information on this form is true and correct. My signature below also certifies that I agree to be bound by the terms and conditions stated in this application. This application contains all the understandings and agreements between me and the YMCA of Pueblo concerning the nature of my employment, if any, by the YMCA and supersedes all prior and/or contemporaneous practices, oral or written agreements, understandings, statements, representations and promises, express or implied, between me and the YMCA. I understand and agree that, except as noted above, no person who is either an agent or employee of the YMCA of Pueblo may modify, delete, vary or contradict, whether orally or in writing, the terms and conditions set forth herein.
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