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*Are you legally eligible to work in Canada?:
*Are you over 18 years of age?:

To determine your qualifications for employment or for volunteer positions, please provide below and on the reverse, information related to your academic and other achievements including volunteer work, as well as entire employment history. Additional information or a resume may be attached.


License, certificate or diploma awarded:



References must be unrelated to you or to the YMCA of Fredericton. Work references from two previous employers are required.

I hereby declare that the foregoing information is true and complete to my knowledge; I understand that a false statement may disqualify me from my volunteer involvement, employment or cause my dismissal. I have not have any accusations of misconduct against me and there is knowing known to me that could prevent me from doing the applied for work.

The YMCA has chosen to honor the guidelines of the Personal Information and Protection and Electronics Documents Act. We will ensure that all information completed in this form is done so based on informed consent, and will not be made available for commercial gain. The information will be used solely for membership purposes (e.g. fund raisers). Research will only be used to evaluate various programs to better serve the needs of all YMCA members.

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We thank all applicants for their interest in this in position at the YMCA of Fredericton; however only those selected for an interview will be contacted.