Application for Employment

How did you learn about us?
Are you able to perform the essential functions of the position with or without a reasonable accommodation? *
If under 18 years of age, can you provide proof of your eligibility to work? *
Have you ever filed an application with us before? *
Have you ever been employed with us before? *
Are you currently employed? *
If yes, may we contact your present employer?
Are you currently on lay off status and subject to recall? *
Are you looking for Seasonal, P/T or F/T work? *
If P/T what parts of the day are you willing to work? *
Can you travel if a job required it?
Do you have a valid PA drivers license?
Do you speak any languages other than English?
Have you ever been convicted of a crime? *
Do you have current clearances from PA State Police & PA Child Abuse?

Current Certifications


Employment History

Employment Experience #1

Employment Experience #2

Employment Experience #3


References Give the name, address, and telephone number of three references who are not related to you and are not previous employers.

Reference #1

Reference #2

Reference #3

The YWCA Hanover is an equal opportunity employer and selects the best matched individual for the job based upon job related qualifications, regardless of race, color, religion, gender, national origin, age, disability or other protected groups under state, federal or local Equal Opportunity Laws.