BGCNI Employment Application

Employment Application

To complete this application you will need to have your education, work history, contact details and contact information on three adult references available.
Your Contact Information:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
Are you 18 years or older?*

YesNo
Your Job Interest:
What is your current employment status?*

EmployedUnemployedSelf-EmployedStudent
Which position(s) are you applying for?*

After School Program (August - May)Summer Program (May - July)
Employment Preference*

Full-TimePart-Time
Your Availability:
Available start date:*

MonthDayYear
Please specify the weekday hours you are available to work - For example (Mondays - 8:00am - 7:00pm)
Mondays*
Tuesdays*
Wednesdays*
Thursdays*
Fridays*
Please specify the weekend hours you are available to work - For example (8:00am - 10:00pm)
Saturdays*
Sundays*
Is there any reason why you can't be at work on time?
Your Education:
High School*
Date Range*
Did you graduate*

YesNoCurrently Attending
Extra Curricular / Community Activities*
Trade School / College / University
Date Range
Did you graduate

YesNoCurrently Attending
Your Work History:

This section is optional, but strongly encouraged.
Employer
Employer Phone Number

Area CodePhone Number
Supervisor
Job Start Date

MonthDayYear
Date
Starting Salary
Job End Date

MonthDayYear
Date
Ending Salary
Job Duties / Responsibilities
Reasons for Leaving
May we contact this Employer?

YesNo
Employer (Next Previous)
Employer Phone Number

Area CodePhone Number
Supervisor
Job Start Date

MonthDayYear
Date
Starting Salary
Job End Date

MonthDayYear
Date
Ending Salary
Job Duties / Responsibilities
Reasons for Leaving
May we contact this Employer?

YesNo
Have you ever been employed at or volunteered for another Boys & Girls Club?*

YesNo
What is the name of the Club you were employed at or volunteered for?
What was your supervisor’s name and title?
What dates were you employed at by this Club?
What was your title/role?
Do you give your consent for us to conduct a reference check?

YesNo
Please provide three adult references.
Reference #1 Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Relation / Connection*
Reference #2 Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Relation / Connection*
Reference #3 Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Relation / Connection*
Why would you like to work at the Boys & Girls Club?
Please explain:
Should be Empty:

Employment Application

Your Contact Information:

Your Job Interest:

Your Availability:

Your Education:

Your Work History:

Why would you like to work at the Boys & Girls Club?